A Case of Gastric Emphysema Associated with Superior Mesenteric Artery Syndrome.
10.7704/kjhugr.2012.12.2.120
- Author:
Miyeon KIM
1
;
Jung Re YU
;
Heung Up KIM
Author Information
1. Department of Internal Medicine, Jeju National University School of Medicine, Jeju, Korea. Kimhup@jejunuh.ac.kr
- Publication Type:Case Report
- Keywords:
Superior mesenteric artery syndrome;
Emphysema;
Gastroparesis;
Gastric dilatation;
Gastric outlet obstruction
- MeSH:
Aged;
Decompression;
Dilatation;
Drainage;
Dyspnea;
Emphysema;
Follow-Up Studies;
Gastric Dilatation;
Gastric Outlet Obstruction;
Gastroparesis;
Humans;
Malnutrition;
Mesenteric Artery, Superior;
Nutritional Support;
Stomach;
Superior Mesenteric Artery Syndrome;
Vomiting
- From:The Korean Journal of Helicobacter and Upper Gastrointestinal Research
2012;12(2):120-123
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We introduce a rare case of gastric emphysema. A 68-year-old man presented with vomiting and dyspnea. Simple abdominal X-ray and CT showed marked dilatation of the stomach and abnormal intramural gas consistent with gastric emphysema. We performed gastric decompression via nasogastric tube drainage and parenteral nutritional support. Nine days after admission, the abnormal intramural gas had disappeared on follow-up CT. The acute gastric dilatation in this patient may have resulted from gastric hypomotility as a result of diabetic gastroparesis in addition to superior mesenteric artery syndrome resulting from malnutrition.
