Browse > Article
http://dx.doi.org/10.5230/jgc.2011.11.3.185

Acute Gastric Necrosis Due to Gastric Outlet Obstruction Accompanied with Gastric Cancer and Trichophytobezoar  

Lee, Do-Sang (Department of Surgery, Bucheon St. Mary's Family Hospital, The Catholic University of Korea School of Medicine)
Sung, Ki-Young (Department of Surgery, Bucheon St. Mary's Family Hospital, The Catholic University of Korea School of Medicine)
Lee, Jun-Hyun (Department of Surgery, Bucheon St. Mary's Family Hospital, The Catholic University of Korea School of Medicine)
Publication Information
Journal of Gastric Cancer / v.11, no.3, 2011 , pp. 185-188 More about this Journal
Abstract
Gastric necrosis due to gastric outlet obstruction is a very rare condition, but it might be fatal if missed or if diagnosis is delayed. Our patient was a 73-year-old male complaining of abdominal pain, distension and dyspnea for 1 day. In plain radiography and computed tomography, a markedly distended stomach and decreased enhancement at the gastric wall were noted. He underwent explo-laparotomy, and near-total gastric mucosal necrosis accompanied by sludge from the soaked laver was noted. A total gastrectomy with esophagojejunostomy was performed, and he recovered without sequelae. Final pathologic examination revealed advanced gastric cancer at the antrum with near-total gastric mucosal necrosis.
Keywords
Gastric necrosis; Gastric outlet obstruction; Soaked laver; Total gastrectomy; Stomach neoplasms;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Powell JL, Payne J, Meyer CL, Moncla PR. Gastric necrosis associated with acute gastric dilatation and small bowel obstruction. Gynecol Oncol 2003;90:200-203.   DOI   ScienceOn
2 Glick PL, Harrison MR, Adzick NS, Webb HW, Delorimier AA. Gastric infarction secondary to small bowel obstruction: a preventable complication aft er Nissen fundoplication. J Pediatr Surg 1987;22:941-943.   DOI   ScienceOn
3 Turan M, Sen M, Canbay E, Karadayi K, Yildiz E. Gastric necrosis and perforation caused by acute gastric dilatation: report of a case. Surg Today 2003;33:302-304.   DOI   ScienceOn
4 Gibbons WD. Gangrenous intrathoracic stomach. Med J Aust 1968;1:451-452.
5 Kerstein MD, Goldberg B, Panter B, Tilson MD, Spiro H. Gastric infarction. Gastroenterology 1974;67:1238-1239.
6 Strauss RJ, Friedman M, Platt N, Gassner W, Wise L. Gangrene of the stomach: a case of acute necrotizing gastritis. Am J Surg 1978;135:253-257.   DOI   ScienceOn
7 Adachi Y, Takamatsu H, Noguchi H, Tahara H, Mukai M, Akiyama H. Spontaneous rupture of the stomach in preschool age children: a report of two cases. Surg Today 1998;28:79-82.   DOI   ScienceOn
8 Todd SR, Marshall GT, Tyroch AH. Acute gastric dilatation revisited. Am Surg 2000;66:709-710.
9 Edlich RF, Borner JW, Kuphal J, Wangensteen OH. Gastric blood fl ow. I. Its distribution during gastric distention. Am J Surg 1970;120:35-37.   DOI   ScienceOn
10 Babkin BP, Armour JC, Webster DR. Restoration of the functional capacity of the stomach when deprived of its main arterial blood supply. Can Med Assoc J 1943;48:1-10.
11 Chaun H. Massive gastric dilatation of uncertain etiology. Can Med Assoc J 1969;100:346-348.
12 Reeve T, Jackson B, Scott-conner C, Sledge C. Near-total gastric necrosis caused by acute gastric dilatation. South Med J 1988;81:515-517.   DOI   ScienceOn
13 Abdu RA, Garritano D, Culver O. Acute gastric necrosis in anorexia nervosa and bulimia. Two case reports. Arch Surg 1987;122:830-832.
14 Cogbill TH, Bintz M, Johnson JA, Strutt PJ. Acute gastric dilatation aft er trauma. J Trauma 1987;27:1113-1117.   DOI   ScienceOn