Here, we are presenting the case of a 16-year-old girl who presented to the surgical emergency with vomiting, acute pain in the abdomen, and distension of abdomen. Acute gastric dilatation; eating disorders; gastric decompression; gastrojejunostomy; acute massive gastric dilatation, Journal of Infection and Molecular Immunity. Notable among these is herniation of the stomach through the diaphragm, gastric volvulus, acute necrotizing gastritis, complications after abdominal surgery, anorexia nervosa and bulimia, trauma, exposure to caustic materials, diabetes mellitus, and acute massive gastric dilatation from binge eating or pathological aerophagia [4–10]. It is important to recognise AMGD as a severe complication of fundoplication due to closed-loop gastric obstruction. We will also present a review of literature and management options for such ... First described by S.E. In 2 children, gastric dilatation resolved sponta-neously. Gastric ischemia and necrosis is an uncommon event mainly due to the rich collateral blood flow the stomach is provided with [1, 2].In the very few cases reported in the literature, a number of etiological factors have been proposed, such as intrathoracic herniation of the stomach, volvulus, acute necrotizing gastritis, vascular compromise and acute gastric dilation []. Vascular reasons, herniation, volvulus, acute gastric dilatation, anorexia, and bulimia nervosa play a role in the etiology of the disease. Acute gastric dilation leading to ischemia of the stomach is an underdiagnosed condition and can be potentially fatal. Vascular reasons, herniation, volvulus, acute gastric dilatation, anorexia, and bulimia nervosa play a role in the etiology of the disease. %PDF-1.3 A 13-year -old … Acute massive gastric dilatation (AMGD) is a rare condition characterised by severe gastric distension. We report a case of gastric necrosis and perforation of a portion of the great curvature due to a massive gastric dilatation caused by pathological aerophagia in a 13-years-old, mentally impaired adolescent girl. While acute gastric dilatation is familiar to most surgeons, massive dilatation with necrosis and rupture is a rare and frequently fatal catastrophe. One indi-vidual died of overwhelming sepsis and dis-seminated intravascular coagulation. First described by S.E. <> 8. Acute gastric dilatation with infarction, necrosis, and perforation is a rare event. CT is important in revealing the diagnosis and etiology. 1. Gastric necrosis due to acute massive gastric dilatation is relatively rare. Early diagnosis and treatment are highly important as the … Notable among these is herniation of the stomach through the diaphragm, gastric volvulus, acute necrotizing gastritis, complications after abdominal surgery, anorexia nervosa and bulimia, trauma, exposure to caustic materials, diabetes mellitus, and acute massive gastric dilatation from binge eating or pathological aerophagia [4–10]. Three previous reports have proposed possi-ble mechanisms for elucidating which situation preceded the other, the acute gastric dilatation, acute pancreatitis, or a Case … It is important to recognise AMGD as a severe complication of fundoplication due to closed-loop gastric obstruction. A side to side gastrojejunostomy done after decompression on the dependent stomach. ��9�Ѭ�}�0�Ye]������M�3�B�?ؿ��)�_WUc��6}s�%!��=��9� �����[v�!����C��� #���%[XB.�v��f�$H�gMmXWUrkؒ����. Medical treatment can be attempted in patients without signs of peritonitis on examination and without signs of necrosis on endoscopy. Acute massive gastric dilatation has been described as an extreme distention of the stomach, in which it occupies the abdomen from the diaphragm to the pelvis and from left to right [ 4 ]. Acute massive gastric dilatation: A rare cause of gangrene of stomach Acute gastric dilatation (AGD) followed by necrosis is a rare and potentially fatal event; it is usually seen in patients with eating disorders such as anorexia nervosa or bulimia. Fu-Hua Zhang, Xiang-Ping Ding, Jin-Hua Zhang, Lian-Sheng Miao, Ling-Yu Bai, Hai-Lan Ge, Yong-Ning Zhou BACKGROUND: Bezoars can be found anywhere in the gastrointestinal tract. <> OBJECTIVE A 22-year-old woman is presented with acute gastric dilation after an eating binge, who died of complications of acute reperfusion syndrome. Post-operative recovery was uneventful. Australas Radiol. It leads almost invariably to gastric necrosis with or without perforation which calls for emergency surgical treatment. Acute massive gastric dilatation: severe ischemia and gastric necrosis without perforation.Rom J Figure 1 CT scan showing an infiltrative soft tissue mass in the ret-roperitoneum due to a metastatic transitional cell urinary bladder 1992;36(1): 75-76. 1 0 obj Mortality rate is high if … Acute massive gastric dilatation can cause isch-emia, necrosis, and perforation of the stomach. 1987; 122(7):830-832. /XObject <> It can occur due to multiple etiologies, including medical and surgical, or as a postoperative complication. Gastroscopy revealed a massively dilated stomach containing > 6 L of fluid and gastric wall ischemia. It is important to recognise AMGD as a severe complication of fundoplication due to closed-loop gastric obstruction. It leads almost invariably to gastric necrosis with or without perforation which calls for emergency surgical treatment. On opening abdomen, hugely distended stomach seen with thinned out gastric wall and patchy areas of discolouration. The distension has been reported to cause gastric necrosis with or without pe … 2 0 obj It leads almost invariably to gastric necrosis with or without perforation which calls for emergency surgical treatment. Acute massive gastric dilatation: A rare cause of gangrene of stomach Oncology, Gastroenterology and Hepatology Reports, 2014, 3, 1, 20-22. On the same day we performed an explorative laparotomy in which massive amounts of clotted, undigested food was recovered via a gastrotomy. complications of acute gastric dilatation that is, infarction and perforation with severe and irreversible shock. stream History of unusual heavy meal one day before and following which symptoms appear. Jung SU, Lee SH, Ahn BK, Baek SU. This complication ofanorexia nervosa lhas been previously reported, but, unlike the othiers, this case ended fatally. Abdu RA, Garritano D, Culver O. Acute esophageal obstruction caused by reverse migration of gastric bezoars: A case report. While th… Gastric necrosis with perforation is a rare and potentially life-threatening condition in childhood beyond the neonatal period. Notable among these is herniation of the stomach through the diaphragm, gastric volvulus, acute necrotizing gastritis, complications after abdominal surgery, anorexia nervosa and bulimia, trauma, exposure to caustic materials, diabetes mellitus, and acute massive gastric dilatation from binge eating or pathological aerophagia [4–10]. complications of acute gastric dilatation that is, infarction and perforation with severe and irreversible shock. H��Wْ���3�����-t7��r��Qƒ,+���A��$aa���*L�4ɹ �YT�bKw��˹_FϮ>�lY���#s�e1�e�b:z�q������K�|r�b����חL*��?��|�F.��`����T�SZ�.F�v����\y��d�#����鎧��^��W�ї��i�#W�LiͲ��ۑ˥f�w-�l�]���X���~OG�Wa$��x���R➇�D���kŷFhiF�U>��E��DF��pI� =�w5Z_�M�f��JOg����X��( M����>�i��^�������)� 3 0 obj Acute massive gastric dilatation is a rare event and though it can occur in a multitude of medical conditions, its pathogenesis is still debated. The gastric reservoir is well known for its rich vascular network which generally protects it from ischemia when significant gastric distension occurs, so gastric necrosis is a very rare event. A 13-year -old … It leads almost invariably to gastric necrosis with or without perforation which calls for emergency surgical treatment. It has been postulated to be due to binge eating disorders, small bowel obstruction, … this report, we present a case of acute massive gastric dilation in a settling of type II diabetes mel-litus and urosepsis. Acute massive gastric dilatation : a surgical emergency. Case Rep Med. senting with the simultaneous occurrence of massive gastric dilatation and acute pancreatitis in a patient with an eating disorder (4-6). Psychological evaluation did not reveal any abnormality. OBJECTIVE A 22-year-old woman is presented with acute gastric dilation after an eating binge, who died of complications of acute reperfusion syndrome. 2013;2013:847238. Luncă S, Rikkers A, Stănescu A. It can occur in various medical and surgical conditions such as post operative state, trauma, anorexia, spinal abnormalities, diabetes mellitus and electrolyte imbalance. Acute massive gastric dilation represents the extreme form of acute gastric dilation (AGD). Discussion. 2013;2013:847238. When the stomach is extremely distended occupying the abdomen from diaphragm to pelvis and from left to right, the AGD is referred to as AMGD. Parthasarathi Hota, Indrajeet Paul, Raktim Parya, Nisith Ranjan Mallik. Perforation means "tear," generally in body tissues Sometimes, the stomach may become so large that it occupies an area of the abdomen from the diaphragm to the pelvis and from the left side of the body to the right side of the body. Acute massive gastric dilatation is a rare event and though it can occur in a multitude of medical conditions, its pathogenesis is still debated. INTRODUCTION. Ibrahim Aydin, Ahmet Pergel, Ahmet Fikret Yucel, Dursun Ali Sahin, Ender Ozer, Gastric Necrosis due to Acute Massive Gastric Dilatation, Case Reports in Medicine, 10.1155/2013/847238, 2013, (1-3), (2013). After one month of daily binges a food excess was followed by an acute massive gastric dilatation which led to a laparotomy. DOI: 10.4103/2348-3113.126645 Gastric infarction as a complication of acute gastric dilatation is an unusual associated circumstance. Acute massive gastric dilatation (AMGD) is a rare distinctive condition but associates with high morbidity and mortality. Keywords: Acute gastric dilatation; eating disorders; gastric decompression; gastrojejunostomy; acute massive gastric dilatation. Acute massive gastric dilatation has been described as an extreme distention of the stomach, in which it occupies the abdomen from the diaphragm to the pelvis and from left to right [4]. 86. FAMEMA faculty point to Prognosis: Your Diagnosis as their preferred clinical skills development app for students in their program’s Adult Health II and Maternal-Infant II stages. In most cases this report, we present a case of acute massive gastric dilation in a settling of type II diabetes mel-litus and urosepsis. We will also present a review of literature and management options for such ... First described by S.E. April 2014; Oncology Gastroenterology and Hepatology Reports 3(1); DOI: 10.4103/2348-3113.126645 Three previous reports have proposed possi-ble mechanisms for elucidating which situation preceded the other, the acute gastric dilatation, acute pancreatitis, or a In line with the higher incidence of eating disorder in young females, mostly women in the age between … We report a rare case of massive gastric remnant dilation in a 45‐year‐old man after laparoscopic mini‐gastric bypass. How To Date Old Hickory Knives, 2003 Gibson Sg Special Faded, Denon High End Amplifier, Data Warehouse Implementation Tutorial, Mccall's Sewing Patterns Uk, " /> Here, we are presenting the case of a 16-year-old girl who presented to the surgical emergency with vomiting, acute pain in the abdomen, and distension of abdomen. Acute gastric dilatation; eating disorders; gastric decompression; gastrojejunostomy; acute massive gastric dilatation, Journal of Infection and Molecular Immunity. Notable among these is herniation of the stomach through the diaphragm, gastric volvulus, acute necrotizing gastritis, complications after abdominal surgery, anorexia nervosa and bulimia, trauma, exposure to caustic materials, diabetes mellitus, and acute massive gastric dilatation from binge eating or pathological aerophagia [4–10]. It is important to recognise AMGD as a severe complication of fundoplication due to closed-loop gastric obstruction. We will also present a review of literature and management options for such ... First described by S.E. In 2 children, gastric dilatation resolved sponta-neously. Gastric ischemia and necrosis is an uncommon event mainly due to the rich collateral blood flow the stomach is provided with [1, 2].In the very few cases reported in the literature, a number of etiological factors have been proposed, such as intrathoracic herniation of the stomach, volvulus, acute necrotizing gastritis, vascular compromise and acute gastric dilation []. Vascular reasons, herniation, volvulus, acute gastric dilatation, anorexia, and bulimia nervosa play a role in the etiology of the disease. Acute gastric dilation leading to ischemia of the stomach is an underdiagnosed condition and can be potentially fatal. Vascular reasons, herniation, volvulus, acute gastric dilatation, anorexia, and bulimia nervosa play a role in the etiology of the disease. %PDF-1.3 A 13-year -old … Acute massive gastric dilatation (AMGD) is a rare condition characterised by severe gastric distension. We report a case of gastric necrosis and perforation of a portion of the great curvature due to a massive gastric dilatation caused by pathological aerophagia in a 13-years-old, mentally impaired adolescent girl. While acute gastric dilatation is familiar to most surgeons, massive dilatation with necrosis and rupture is a rare and frequently fatal catastrophe. One indi-vidual died of overwhelming sepsis and dis-seminated intravascular coagulation. First described by S.E. <> 8. Acute gastric dilatation with infarction, necrosis, and perforation is a rare event. CT is important in revealing the diagnosis and etiology. 1. Gastric necrosis due to acute massive gastric dilatation is relatively rare. Early diagnosis and treatment are highly important as the … Notable among these is herniation of the stomach through the diaphragm, gastric volvulus, acute necrotizing gastritis, complications after abdominal surgery, anorexia nervosa and bulimia, trauma, exposure to caustic materials, diabetes mellitus, and acute massive gastric dilatation from binge eating or pathological aerophagia [4–10]. Three previous reports have proposed possi-ble mechanisms for elucidating which situation preceded the other, the acute gastric dilatation, acute pancreatitis, or a Case … It is important to recognise AMGD as a severe complication of fundoplication due to closed-loop gastric obstruction. A side to side gastrojejunostomy done after decompression on the dependent stomach. ��9�Ѭ�}�0�Ye]������M�3�B�?ؿ��)�_WUc��6}s�%!��=��9� �����[v�!����C��� #���%[XB.�v��f�$H�gMmXWUrkؒ����. Medical treatment can be attempted in patients without signs of peritonitis on examination and without signs of necrosis on endoscopy. Acute massive gastric dilatation has been described as an extreme distention of the stomach, in which it occupies the abdomen from the diaphragm to the pelvis and from left to right [ 4 ]. Acute massive gastric dilatation: A rare cause of gangrene of stomach Acute gastric dilatation (AGD) followed by necrosis is a rare and potentially fatal event; it is usually seen in patients with eating disorders such as anorexia nervosa or bulimia. Fu-Hua Zhang, Xiang-Ping Ding, Jin-Hua Zhang, Lian-Sheng Miao, Ling-Yu Bai, Hai-Lan Ge, Yong-Ning Zhou BACKGROUND: Bezoars can be found anywhere in the gastrointestinal tract. <> OBJECTIVE A 22-year-old woman is presented with acute gastric dilation after an eating binge, who died of complications of acute reperfusion syndrome. Post-operative recovery was uneventful. Australas Radiol. It leads almost invariably to gastric necrosis with or without perforation which calls for emergency surgical treatment. Acute massive gastric dilatation: severe ischemia and gastric necrosis without perforation.Rom J Figure 1 CT scan showing an infiltrative soft tissue mass in the ret-roperitoneum due to a metastatic transitional cell urinary bladder 1992;36(1): 75-76. 1 0 obj Mortality rate is high if … Acute massive gastric dilatation can cause isch-emia, necrosis, and perforation of the stomach. 1987; 122(7):830-832. /XObject <> It can occur due to multiple etiologies, including medical and surgical, or as a postoperative complication. Gastroscopy revealed a massively dilated stomach containing > 6 L of fluid and gastric wall ischemia. It is important to recognise AMGD as a severe complication of fundoplication due to closed-loop gastric obstruction. It leads almost invariably to gastric necrosis with or without perforation which calls for emergency surgical treatment. On opening abdomen, hugely distended stomach seen with thinned out gastric wall and patchy areas of discolouration. The distension has been reported to cause gastric necrosis with or without pe … 2 0 obj It leads almost invariably to gastric necrosis with or without perforation which calls for emergency surgical treatment. Acute massive gastric dilatation: A rare cause of gangrene of stomach Oncology, Gastroenterology and Hepatology Reports, 2014, 3, 1, 20-22. On the same day we performed an explorative laparotomy in which massive amounts of clotted, undigested food was recovered via a gastrotomy. complications of acute gastric dilatation that is, infarction and perforation with severe and irreversible shock. stream History of unusual heavy meal one day before and following which symptoms appear. Jung SU, Lee SH, Ahn BK, Baek SU. This complication ofanorexia nervosa lhas been previously reported, but, unlike the othiers, this case ended fatally. Abdu RA, Garritano D, Culver O. Acute esophageal obstruction caused by reverse migration of gastric bezoars: A case report. While th… Gastric necrosis with perforation is a rare and potentially life-threatening condition in childhood beyond the neonatal period. Notable among these is herniation of the stomach through the diaphragm, gastric volvulus, acute necrotizing gastritis, complications after abdominal surgery, anorexia nervosa and bulimia, trauma, exposure to caustic materials, diabetes mellitus, and acute massive gastric dilatation from binge eating or pathological aerophagia [4–10]. complications of acute gastric dilatation that is, infarction and perforation with severe and irreversible shock. H��Wْ���3�����-t7��r��Qƒ,+���A��$aa���*L�4ɹ �YT�bKw��˹_FϮ>�lY���#s�e1�e�b:z�q������K�|r�b����חL*��?��|�F.��`����T�SZ�.F�v����\y��d�#����鎧��^��W�ї��i�#W�LiͲ��ۑ˥f�w-�l�]���X���~OG�Wa$��x���R➇�D���kŷFhiF�U>��E��DF��pI� =�w5Z_�M�f��JOg����X��( M����>�i��^�������)� 3 0 obj Acute massive gastric dilatation is a rare event and though it can occur in a multitude of medical conditions, its pathogenesis is still debated. The gastric reservoir is well known for its rich vascular network which generally protects it from ischemia when significant gastric distension occurs, so gastric necrosis is a very rare event. A 13-year -old … It leads almost invariably to gastric necrosis with or without perforation which calls for emergency surgical treatment. It has been postulated to be due to binge eating disorders, small bowel obstruction, … this report, we present a case of acute massive gastric dilation in a settling of type II diabetes mel-litus and urosepsis. Acute massive gastric dilatation : a surgical emergency. Case Rep Med. senting with the simultaneous occurrence of massive gastric dilatation and acute pancreatitis in a patient with an eating disorder (4-6). Psychological evaluation did not reveal any abnormality. OBJECTIVE A 22-year-old woman is presented with acute gastric dilation after an eating binge, who died of complications of acute reperfusion syndrome. 2013;2013:847238. Luncă S, Rikkers A, Stănescu A. It can occur in various medical and surgical conditions such as post operative state, trauma, anorexia, spinal abnormalities, diabetes mellitus and electrolyte imbalance. Acute massive gastric dilation represents the extreme form of acute gastric dilation (AGD). Discussion. 2013;2013:847238. When the stomach is extremely distended occupying the abdomen from diaphragm to pelvis and from left to right, the AGD is referred to as AMGD. Parthasarathi Hota, Indrajeet Paul, Raktim Parya, Nisith Ranjan Mallik. Perforation means "tear," generally in body tissues Sometimes, the stomach may become so large that it occupies an area of the abdomen from the diaphragm to the pelvis and from the left side of the body to the right side of the body. Acute massive gastric dilatation is a rare event and though it can occur in a multitude of medical conditions, its pathogenesis is still debated. INTRODUCTION. Ibrahim Aydin, Ahmet Pergel, Ahmet Fikret Yucel, Dursun Ali Sahin, Ender Ozer, Gastric Necrosis due to Acute Massive Gastric Dilatation, Case Reports in Medicine, 10.1155/2013/847238, 2013, (1-3), (2013). After one month of daily binges a food excess was followed by an acute massive gastric dilatation which led to a laparotomy. DOI: 10.4103/2348-3113.126645 Gastric infarction as a complication of acute gastric dilatation is an unusual associated circumstance. Acute massive gastric dilatation (AMGD) is a rare distinctive condition but associates with high morbidity and mortality. Keywords: Acute gastric dilatation; eating disorders; gastric decompression; gastrojejunostomy; acute massive gastric dilatation. Acute massive gastric dilatation has been described as an extreme distention of the stomach, in which it occupies the abdomen from the diaphragm to the pelvis and from left to right [4]. 86. FAMEMA faculty point to Prognosis: Your Diagnosis as their preferred clinical skills development app for students in their program’s Adult Health II and Maternal-Infant II stages. In most cases this report, we present a case of acute massive gastric dilation in a settling of type II diabetes mel-litus and urosepsis. We will also present a review of literature and management options for such ... First described by S.E. April 2014; Oncology Gastroenterology and Hepatology Reports 3(1); DOI: 10.4103/2348-3113.126645 Three previous reports have proposed possi-ble mechanisms for elucidating which situation preceded the other, the acute gastric dilatation, acute pancreatitis, or a In line with the higher incidence of eating disorder in young females, mostly women in the age between … We report a rare case of massive gastric remnant dilation in a 45‐year‐old man after laparoscopic mini‐gastric bypass. How To Date Old Hickory Knives, 2003 Gibson Sg Special Faded, Denon High End Amplifier, Data Warehouse Implementation Tutorial, Mccall's Sewing Patterns Uk, " />

acute massive gastric dilatation

%�쏢 Obstruction of distal duodenum can cause AGD with bilious nasogastric drainage. Chaun H. Massive gastric dilatation of uncertain etiology. /Type /Page Though most patients respond to conservative measures, failing which surgical decompression is needed. In literature the demarcation of AGD and AMGD is not clearly mentioned. <> Can Med Assoc J. Gastric dilatation volvulus (GDV), also known as gastric dilation, twisted stomach, or gastric torsion, is a medical condition that affects dogs in which the stomach becomes overstretched and rotated by excessive gas content. Her initial complaints--diarrhea, vomiting and abdominal pain--began after an enormous food intake. Aydin I, Pergel A, Yucel AF, Sahin DA, Ozer E. Gastric Necrosis due to Acute Massive Gastric Dilatation. /StructParents 37 <> Early diagnosis and treatment are highly important as the … Gastric ischaemia results when intragastric pressure exceeds venous pressure, obstructing venous outflow. After decompression, the circulation to the lower limbs recovered immediately. Etiologies like Acute Massive Gastric Dilatation (AMGD), vascular causes like Superior Mesentric Artery Syndrome, bulimia, abdominal trauma, infectious disease, gastric volvulus, intrathoracic herniation, necrotizing gastritis, ingestion of caustics leading to massive gastric necrosis have been described in literature [3,4]. In cases of acute massive gastric dilatation, intragastric pressure usually exceeds 30 cm H2O and produces a dramatic decrease of intramural blood flow, with consequent necrosis and perforation. Acute massive gastric dilatation has been described as an extreme distention of the stomach, in which it occupies the abdomen from the diaphragm to the pelvis and from left to right [4]. Acute massive gastric dilatation is a rare event, with a pathogenesis still debated. In most cases Background. Acute massive gastric dilatation (AMGD) was first described in 1833 and is a rare but serious condition with high mortality due to the development of sequelae, such as gastric emphysema, gangrene and perforation.1 2 The pathology of this condition is not well elucidated in literature. We report a rare case of AMGD as a result of closed-loop obstruction of the stomach following feeding jejunostomy in a patient with carcinoma oesophagus. In 3 young adult women with vomiting and ap-parent gastroenteritis, clinical course pro-gressed rapidly to massive gastric dilatation with subsequent gastric necrosis. Two case reports. Ischemia means lack of blood flow 3. Acute massive gastric dilatation can cause ischemia, necrosis, and perforation of the stomach. Gastric infarction as a complication of acute gastric dilatation is an unusual associated circumstance. Home About us Subject Areas Contacts Advanced Search Help Gastric necrosis due to acute massive gastric dilatation is relatively rare. >> 4 0 obj Gastric perforation caused by acute massive gastric dilatation: Report of a case. The gastric reservoir is well known for its rich vascular network which generally protects it from ischemia when significant gastric distension occurs, so gastric necrosis is a very rare event. Binge eating and drinking, precipitated by emotional crises, contributed to her acute gastric dilatation. AGD complicated with gastric … Vascular reasons, herniation, volvulus, acute gastric dilatation, anorexia, and bulimia nervosa play a role in the etiology of the disease. Gastric ischaemia results when intragastric pressure exceeds venous pressure, obstructing venous outflow. The word bloat is often used as a general term to mean gas distension without stomach torsion (a normal change after eating), or to refer to GDV. endobj 1. Her initial complaints--diarrhea, vomiting and abdominal pain--began after an enormous food intake. It is important to recognise AMGD as a severe complication of fundoplication due to closed-loop gastric obstruction. Some other authors have reported on cases in which eating disorders such as anorexia nervosa or bulimia nervosa lead to acute gastric dilatation , , , . endobj acute dramatic gastric distention. Gastric dilatationmeans enlargement or ballooning of the stomach 2. 6 0 obj /ProcSet [/PDF /Text /ImageB] Gastric ischaemia results when intragastric pressure exceeds venous pressure, obstructing venous outflow. METHOD A young patient was admitted in our clinic with critical condition without any significant previous medical history. Acute massive gastric dilatation is rare. Early diagnosis and treatment are highly important as the … Acute massive gastric dilatation (AMGD) is a rare event which is usually underdiagnosed. Acute massive gastric dilatation [AMGD] is the extreme form of AGD. Jump to Content Jump to Main Navigation. Gastric necrosis due to acute massive gastric dilatation is relatively rare. Acute gastric necrosis in anorexia nervosa and bulimia. Without proper and timely diagnosis and treatment, gastric perforation and hemorrhage can occur. Gastric ischemia and necrosis is an uncommon event mainly due to the rich collateral blood flow the stomach is provided with [1, 2].In the very few cases reported in the literature, a number of etiological factors have been proposed, such as intrathoracic herniation of the stomach, volvulus, acute necrotizing gastritis, vascular compromise and acute gastric dilation []. endobj Acute massive gastric dilatation: severe ischemia and gastric necrosis without perforation.Rom J Figure 1 CT scan showing an infiltrative soft tissue mass in the ret-roperitoneum due to a metastatic transitional cell urinary bladder Acute massive gastric dilatation: A rare cause of gangrene of stomach. Duplay in 1833, acute gastric dilatation has since been well documented in the literature. Acute Massive Gastric Dilatation in a Patient with an Eating Disorder Yuriko Nishiie and Naoyoshi Nagata Key words: gastric distension, gastric necrosis (Intern Med Advance Publication) (DOI: 10.2169/internalmedicine.0576-17) A 33-year-old woman with an eating disorder and depres-sion was admitted after ingesting large amounts of water. /Parent 79 0 R Vascular reasons, herniation, volvulus, acute gastric dilatation, anorexia, and bulimia nervosa play a role in the etiology of the disease. All rights reserved. Acute dilatation, ischaemia, and necrosis of stomach without perforation. The Marília Medical School of Brazil offers new technological resources to its medical students. Beiles CB, Rogers G, Upjohn J, et al. Acute massive gastric dilatation is a rare event and though it can occur in a multitude of medical conditions, its pathogenesis is still debated. 5 0 obj Acute massive gastric dilatation (AMGD) is a rare condition characterised by severe gastric distension. METHOD A young patient was admitted in our clinic with critical condition without any significant previous medical history. X-ray abdomen showed gas under the diaphragm and massively dilated gastric shadow. Clinicians should be aware that abnormal eating habits may cause severe somatic complications even in patients of normal weight who are not currently diagnosed as having a typical eating disorder. Though most patients respond to conservative measures, failing which surgical decompression is needed. Duplay in 1833, acute gastric dilatation has since been well documented in the literature. Straight X ray shows dilated gastric shadow. /Rotate 0 >> In 3 young adult women with vomiting and ap-parent gastroenteritis, clinical course pro-gressed rapidly to massive gastric dilatation with subsequent gastric necrosis. This dilation was not reversible either by self-induced vomiting or by drainage using a stomach tube. Gastric ischaemia results when intragastric pressure exceeds venous pressure, obstructing venous outflow. Gastric ischaemia results when intragastric pressure exceeds venous pressure, obstructing venous outflow. Binge eating and drinking, precipitated by emotional crises, contributed to her acute gastric dilatation. INTRODUCTION. Acute massive gastric dilatation is a rare event and though it can occur in a multitude of medical conditions, its pathogenesis is still debated. Acute massive gastric dilatation is a rare event and though it can occur in a multitude of medical conditions, its pathogenesis is still debated. Duplay in 1833, acute gastric dilatation has since been well documented in the literature. It is important to recognise AMGD as a severe complication of fundoplication due to closed-loop gastric obstruction. Etiologies like Acute Massive Gastric Dilatation (AMGD), vascular causes like Superior Mesentric Artery Syndrome, bulimia, abdominal trauma, infectious disease, gastric volvulus, intrathoracic herniation, necrotizing gastritis, ingestion of caustics leading to massive gastric necrosis have been described in literature [3,4]. Few episodes of vomiting were associated. Therefore, immediate surgical treatment was required. /Font <> Acute Massive Gastric Dilatation in a Patient with an Eating Disorder Yuriko Nishiie and Naoyoshi Nagata Key words: gastric distension, gastric necrosis (Intern Med 57: 2267-2268, 2018) (DOI: 10.2169/internalmedicine.0576-17) A 33-year-old woman with an eating disorder and depres-sion was admitted after ingesting large amounts of water. Though usually seen in patients with eating disorders, many aetiologies of AMGD have been described. Ischemia initially causes mucosal necrosis followed by full-thickness gastric necrosis which ultimately causes perforation. endobj In 2 children, gastric dilatation resolved sponta-neously. Article Google Scholar Acute gastric dilatation can cause mucosal necrosis and gastric perforation therefore early diagnosis and gastric decompression is the key. acute dramatic gastric distention. Few episodes of vomiting were associated. Acute Gastric Dilatation Causing Acute Limb Ischemia in an Anorexia Nervosa Patient. This complication ofanorexia nervosa lhas been previously reported, but, unlike the othiers, this case ended fatally. Early diagnosis and treatment are highly important as the … Abstract A 40 year old patient presents with acute pain abdomen with abdominal distension. J Med cases 2012;3(5): 286-289. In our case, a triad of clinical suspicion, laboratory profile, and emergency radiologic investigation were essential for early diagnosis and management. Early diagnosis is important. <> A 40 year old patient presents with acute pain abdomen with abdominal distension. Acute massive gastric dilatation (AMGD) is a rare condition characterised by severe gastric distension. 7. Copyright © 2014 - 2020 Ant Publishing Corporation. Postoperatively, upon psychiatric consultation, an eating disorder with daily eating binges could be revealed as being the cause for the acute and dramatic gastric dilatation. Acute massive gastric dilatation can cause isch-emia, necrosis, and perforation of the stomach. Patient posted for laparotomy after failing of conservative measures. Luncă S, Rikkers A, Stănescu A. Acute massive gastric dilatation (AMGD) is a rare condition characterised by severe gastric distension. /TrimBox [0 0 612 792] Gastric dilatation and necrosis in bulimia: a case report. Article Google Scholar Aydin I, Pergel A, Yucel AF, Sahin DA, Ozer E. Gastric Necrosis due to Acute Massive Gastric Dilatation. 85. Acute gastric dilatation is a surgical emergency. Acute massive gastric dilatation (AMGD) was first described in 1833 and is a rare but serious condition with high mortality due to the development of sequelae, such as gastric emphysema, gangrene and perforation.1 2 The pathology of this condition is not well elucidated in literature. History of unusual heavy meal one day before and following which symptoms appear. One indi-vidual died of overwhelming sepsis and dis-seminated intravascular coagulation. Gastric necrosis due to acute massive gastric dilatation is relatively rare. Necrosismeans "death of," as in the death of cells 4. ... all due to compression by a massive gastric dilatation. . Most common causes are pancreatic neoplasms and pseudocysts, annular pancreas, superior mesenteric artery syndrome, retroperitoneal fibrosis and tumors, duodenal neoplasms and hematoma [1]. Case Rep Med. Sahoo MR, Kumar AT, Jaiswal S, Bhujabai SN. Acute massive gastric dilatation (AMGD) is a rare condition characterised by severe gastric distension. Acute massive gastric dilatation invariably leads to necrosis and perforation. <> Here, we are presenting the case of a 16-year-old girl who presented to the surgical emergency with vomiting, acute pain in the abdomen, and distension of abdomen. Acute gastric dilatation; eating disorders; gastric decompression; gastrojejunostomy; acute massive gastric dilatation, Journal of Infection and Molecular Immunity. Notable among these is herniation of the stomach through the diaphragm, gastric volvulus, acute necrotizing gastritis, complications after abdominal surgery, anorexia nervosa and bulimia, trauma, exposure to caustic materials, diabetes mellitus, and acute massive gastric dilatation from binge eating or pathological aerophagia [4–10]. It is important to recognise AMGD as a severe complication of fundoplication due to closed-loop gastric obstruction. We will also present a review of literature and management options for such ... First described by S.E. In 2 children, gastric dilatation resolved sponta-neously. Gastric ischemia and necrosis is an uncommon event mainly due to the rich collateral blood flow the stomach is provided with [1, 2].In the very few cases reported in the literature, a number of etiological factors have been proposed, such as intrathoracic herniation of the stomach, volvulus, acute necrotizing gastritis, vascular compromise and acute gastric dilation []. Vascular reasons, herniation, volvulus, acute gastric dilatation, anorexia, and bulimia nervosa play a role in the etiology of the disease. Acute gastric dilation leading to ischemia of the stomach is an underdiagnosed condition and can be potentially fatal. Vascular reasons, herniation, volvulus, acute gastric dilatation, anorexia, and bulimia nervosa play a role in the etiology of the disease. %PDF-1.3 A 13-year -old … Acute massive gastric dilatation (AMGD) is a rare condition characterised by severe gastric distension. We report a case of gastric necrosis and perforation of a portion of the great curvature due to a massive gastric dilatation caused by pathological aerophagia in a 13-years-old, mentally impaired adolescent girl. While acute gastric dilatation is familiar to most surgeons, massive dilatation with necrosis and rupture is a rare and frequently fatal catastrophe. One indi-vidual died of overwhelming sepsis and dis-seminated intravascular coagulation. First described by S.E. <> 8. Acute gastric dilatation with infarction, necrosis, and perforation is a rare event. CT is important in revealing the diagnosis and etiology. 1. Gastric necrosis due to acute massive gastric dilatation is relatively rare. Early diagnosis and treatment are highly important as the … Notable among these is herniation of the stomach through the diaphragm, gastric volvulus, acute necrotizing gastritis, complications after abdominal surgery, anorexia nervosa and bulimia, trauma, exposure to caustic materials, diabetes mellitus, and acute massive gastric dilatation from binge eating or pathological aerophagia [4–10]. Three previous reports have proposed possi-ble mechanisms for elucidating which situation preceded the other, the acute gastric dilatation, acute pancreatitis, or a Case … It is important to recognise AMGD as a severe complication of fundoplication due to closed-loop gastric obstruction. A side to side gastrojejunostomy done after decompression on the dependent stomach. ��9�Ѭ�}�0�Ye]������M�3�B�?ؿ��)�_WUc��6}s�%!��=��9� �����[v�!����C��� #���%[XB.�v��f�$H�gMmXWUrkؒ����. Medical treatment can be attempted in patients without signs of peritonitis on examination and without signs of necrosis on endoscopy. Acute massive gastric dilatation has been described as an extreme distention of the stomach, in which it occupies the abdomen from the diaphragm to the pelvis and from left to right [ 4 ]. Acute massive gastric dilatation: A rare cause of gangrene of stomach Acute gastric dilatation (AGD) followed by necrosis is a rare and potentially fatal event; it is usually seen in patients with eating disorders such as anorexia nervosa or bulimia. Fu-Hua Zhang, Xiang-Ping Ding, Jin-Hua Zhang, Lian-Sheng Miao, Ling-Yu Bai, Hai-Lan Ge, Yong-Ning Zhou BACKGROUND: Bezoars can be found anywhere in the gastrointestinal tract. <> OBJECTIVE A 22-year-old woman is presented with acute gastric dilation after an eating binge, who died of complications of acute reperfusion syndrome. Post-operative recovery was uneventful. Australas Radiol. It leads almost invariably to gastric necrosis with or without perforation which calls for emergency surgical treatment. Acute massive gastric dilatation: severe ischemia and gastric necrosis without perforation.Rom J Figure 1 CT scan showing an infiltrative soft tissue mass in the ret-roperitoneum due to a metastatic transitional cell urinary bladder 1992;36(1): 75-76. 1 0 obj Mortality rate is high if … Acute massive gastric dilatation can cause isch-emia, necrosis, and perforation of the stomach. 1987; 122(7):830-832. /XObject <> It can occur due to multiple etiologies, including medical and surgical, or as a postoperative complication. Gastroscopy revealed a massively dilated stomach containing > 6 L of fluid and gastric wall ischemia. It is important to recognise AMGD as a severe complication of fundoplication due to closed-loop gastric obstruction. It leads almost invariably to gastric necrosis with or without perforation which calls for emergency surgical treatment. On opening abdomen, hugely distended stomach seen with thinned out gastric wall and patchy areas of discolouration. The distension has been reported to cause gastric necrosis with or without pe … 2 0 obj It leads almost invariably to gastric necrosis with or without perforation which calls for emergency surgical treatment. Acute massive gastric dilatation: A rare cause of gangrene of stomach Oncology, Gastroenterology and Hepatology Reports, 2014, 3, 1, 20-22. On the same day we performed an explorative laparotomy in which massive amounts of clotted, undigested food was recovered via a gastrotomy. complications of acute gastric dilatation that is, infarction and perforation with severe and irreversible shock. stream History of unusual heavy meal one day before and following which symptoms appear. Jung SU, Lee SH, Ahn BK, Baek SU. This complication ofanorexia nervosa lhas been previously reported, but, unlike the othiers, this case ended fatally. Abdu RA, Garritano D, Culver O. Acute esophageal obstruction caused by reverse migration of gastric bezoars: A case report. While th… Gastric necrosis with perforation is a rare and potentially life-threatening condition in childhood beyond the neonatal period. Notable among these is herniation of the stomach through the diaphragm, gastric volvulus, acute necrotizing gastritis, complications after abdominal surgery, anorexia nervosa and bulimia, trauma, exposure to caustic materials, diabetes mellitus, and acute massive gastric dilatation from binge eating or pathological aerophagia [4–10]. complications of acute gastric dilatation that is, infarction and perforation with severe and irreversible shock. H��Wْ���3�����-t7��r��Qƒ,+���A��$aa���*L�4ɹ �YT�bKw��˹_FϮ>�lY���#s�e1�e�b:z�q������K�|r�b����חL*��?��|�F.��`����T�SZ�.F�v����\y��d�#����鎧��^��W�ї��i�#W�LiͲ��ۑ˥f�w-�l�]���X���~OG�Wa$��x���R➇�D���kŷFhiF�U>��E��DF��pI� =�w5Z_�M�f��JOg����X��( M����>�i��^�������)� 3 0 obj Acute massive gastric dilatation is a rare event and though it can occur in a multitude of medical conditions, its pathogenesis is still debated. The gastric reservoir is well known for its rich vascular network which generally protects it from ischemia when significant gastric distension occurs, so gastric necrosis is a very rare event. A 13-year -old … It leads almost invariably to gastric necrosis with or without perforation which calls for emergency surgical treatment. It has been postulated to be due to binge eating disorders, small bowel obstruction, … this report, we present a case of acute massive gastric dilation in a settling of type II diabetes mel-litus and urosepsis. Acute massive gastric dilatation : a surgical emergency. Case Rep Med. senting with the simultaneous occurrence of massive gastric dilatation and acute pancreatitis in a patient with an eating disorder (4-6). Psychological evaluation did not reveal any abnormality. OBJECTIVE A 22-year-old woman is presented with acute gastric dilation after an eating binge, who died of complications of acute reperfusion syndrome. 2013;2013:847238. Luncă S, Rikkers A, Stănescu A. It can occur in various medical and surgical conditions such as post operative state, trauma, anorexia, spinal abnormalities, diabetes mellitus and electrolyte imbalance. Acute massive gastric dilation represents the extreme form of acute gastric dilation (AGD). Discussion. 2013;2013:847238. When the stomach is extremely distended occupying the abdomen from diaphragm to pelvis and from left to right, the AGD is referred to as AMGD. Parthasarathi Hota, Indrajeet Paul, Raktim Parya, Nisith Ranjan Mallik. Perforation means "tear," generally in body tissues Sometimes, the stomach may become so large that it occupies an area of the abdomen from the diaphragm to the pelvis and from the left side of the body to the right side of the body. Acute massive gastric dilatation is a rare event and though it can occur in a multitude of medical conditions, its pathogenesis is still debated. INTRODUCTION. Ibrahim Aydin, Ahmet Pergel, Ahmet Fikret Yucel, Dursun Ali Sahin, Ender Ozer, Gastric Necrosis due to Acute Massive Gastric Dilatation, Case Reports in Medicine, 10.1155/2013/847238, 2013, (1-3), (2013). After one month of daily binges a food excess was followed by an acute massive gastric dilatation which led to a laparotomy. DOI: 10.4103/2348-3113.126645 Gastric infarction as a complication of acute gastric dilatation is an unusual associated circumstance. Acute massive gastric dilatation (AMGD) is a rare distinctive condition but associates with high morbidity and mortality. Keywords: Acute gastric dilatation; eating disorders; gastric decompression; gastrojejunostomy; acute massive gastric dilatation. Acute massive gastric dilatation has been described as an extreme distention of the stomach, in which it occupies the abdomen from the diaphragm to the pelvis and from left to right [4]. 86. FAMEMA faculty point to Prognosis: Your Diagnosis as their preferred clinical skills development app for students in their program’s Adult Health II and Maternal-Infant II stages. In most cases this report, we present a case of acute massive gastric dilation in a settling of type II diabetes mel-litus and urosepsis. We will also present a review of literature and management options for such ... First described by S.E. April 2014; Oncology Gastroenterology and Hepatology Reports 3(1); DOI: 10.4103/2348-3113.126645 Three previous reports have proposed possi-ble mechanisms for elucidating which situation preceded the other, the acute gastric dilatation, acute pancreatitis, or a In line with the higher incidence of eating disorder in young females, mostly women in the age between … We report a rare case of massive gastric remnant dilation in a 45‐year‐old man after laparoscopic mini‐gastric bypass.

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