Acute Gastric Necrosis Due to Gastric Outlet Obstruction Accompanied with Gastric Cancer and Trichophytobezoar.
10.5230/jgc.2011.11.3.185
- Author:
Dosang LEE
1
;
Kiyoung SUNG
;
Jun Hyun LEE
Author Information
1. Department of Surgery, Bucheon St. Mary's Family Hospital, The Catholic University of Korea School of Medicine, Bucheon, Korea. surgeryjun@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Gastric necrosis;
Gastric outlet obstruction;
Soaked laver;
Total gastrectomy;
Stomach neoplasms
- MeSH:
Abdominal Pain;
Aged;
Dyspnea;
Gastrectomy;
Gastric Outlet Obstruction;
Humans;
Male;
Necrosis;
Sewage;
Stomach;
Stomach Neoplasms
- From:Journal of Gastric Cancer
2011;11(3):185-188
- CountryRepublic of Korea
- Language:English
-
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.
