Gastric Emphysema Related with Superior Mesenteric Artery Syndrome.
10.12771/emj.2014.37.2.141
- Author:
Yu Min LEE
1
;
Hyun Joo SONG
;
Soo Young NA
;
Sun Jin BOO
;
Heung Up KIM
;
Seung Hyoung KIM
Author Information
1. Department of Internal Medicine, Jeju National University School of Medicine, Jeju, Korea. songhj@jejunu.ac.kr
- Publication Type:Case Report
- Keywords:
Gastric emphysema;
Superior mesenteric artery syndrome;
Gastric dilatation
- MeSH:
Anti-Bacterial Agents;
Decompression;
Dilatation;
Duodenum;
Emphysema*;
Endoscopy;
Gastric Dilatation;
Humans;
Mesenteric Artery, Superior;
Nutritional Support;
Stomach;
Superior Mesenteric Artery Syndrome*;
Ulcer;
Vomiting;
Young Adult
- From:The Ewha Medical Journal
2014;37(2):141-145
- CountryRepublic of Korea
- Language:English
-
Abstract:
Gastric emphysema is caused by a mucosal disruption of stomach, which is leading to the dissection of air into the wall. A 24-year-old man admitted to our hospital with vomiting, abdominal distension, and pain. Abdominal computed tomography showed severe gastric distension, air within the gastric wall, and a compressed third segment of the duodenum by superior mesenteric artery (SMA). The upper endoscopy revealed multiple geographic ulcers in the gastric body and marked dilatation of the second segment of duodenum and a collapsed third segment. Based on these findings and his symptoms, the patient was diagnosed as having gastric emphysema related with SMA syndrome. He improved after the nasogastric decompression, jejunal feeding and administration of antibiotics. We report a rare case of gastric emphysema related with SMA syndrome. He was managed successfully with medical treatment and nutritional support.
