Post-operative recovery was uneventful. Two case reports. endobj X-ray abdomen showed gas under the diaphragm and massively dilated gastric shadow. It is important to recognise AMGD as a severe complication of fundoplication due to closed-loop gastric obstruction. <> Duplay in 1833, acute gastric dilatation has since been well documented in the literature. 6 0 obj Background. 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 []. 3 0 obj 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��^�������)� Acute massive gastric dilatation can cause isch-emia, necrosis, and perforation of the stomach. In line with the higher incidence of eating disorder in young females, mostly women in the age between … 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. Jump to Content Jump to Main Navigation. 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. 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. >> In most cases Obstruction of distal duodenum can cause AGD with bilious nasogastric drainage. 2013;2013:847238. Case Rep Med. It leads almost invariably to gastric necrosis with or without perforation which calls for emergency surgical treatment. acute dramatic gastric distention. In most cases Ischemia means lack of blood flow 3. 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]. First described by S.E. Though usually seen in patients with eating disorders, many aetiologies of AMGD have been described. 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]. Some other authors have reported on cases in which eating disorders such as anorexia nervosa or bulimia nervosa lead to acute gastric dilatation , , , . acute dramatic gastric distention. /StructParents 37 It is important to recognise AMGD as a severe complication of fundoplication due to closed-loop gastric obstruction. We report a rare case of massive gastric remnant dilation in a 45‐year‐old man after laparoscopic mini‐gastric bypass. Early diagnosis and treatment are highly important as the … Vascular reasons, herniation, volvulus, acute gastric dilatation, anorexia, and bulimia nervosa play a role in the etiology of the disease. 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. A side to side gastrojejunostomy done after decompression on the dependent stomach. Acute Gastric Dilatation Causing Acute Limb Ischemia in an Anorexia Nervosa Patient. METHOD A young patient was admitted in our clinic with critical condition without any significant previous medical history. To understand acute massive gastric dilatation, it may be helpful to define key terms related to the condition: 1. /Rotate 0 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. The Marília Medical School of Brazil offers new technological resources to its medical students. <> Gastric necrosis due to acute massive gastric dilatation is relatively rare. 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]. After decompression, the circulation to the lower limbs recovered immediately. CT is important in revealing the diagnosis and etiology. Binge eating and drinking, precipitated by emotional crises, contributed to her acute gastric dilatation. In our case, a triad of clinical suspicion, laboratory profile, and emergency radiologic investigation were essential for early diagnosis and management. 7. Three previous reports have proposed possi-ble mechanisms for elucidating which situation preceded the other, the acute gastric dilatation, acute pancreatitis, or a Ischemia initially causes mucosal necrosis followed by full-thickness gastric necrosis which ultimately causes perforation. Acute massive gastric dilatation is a rare event and though it can occur in a multitude of medical conditions, its pathogenesis is still debated. One indi-vidual died of overwhelming sepsis and dis-seminated intravascular coagulation. AGD complicated with gastric … 1987; 122(7):830-832. Acute gastric dilatation is a surgical emergency. endobj It has been postulated to be due to binge eating disorders, small bowel obstruction, … ... all due to compression by a massive gastric dilatation. Keywords: Acute gastric dilatation; eating disorders; gastric decompression; gastrojejunostomy; acute massive gastric dilatation. Early diagnosis is important. 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 1. /TrimBox [0 0 612 792] stream 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. METHOD A young patient was admitted in our clinic with critical condition without any significant previous medical history. 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. 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 []. Gastric ischaemia results when intragastric pressure exceeds venous pressure, obstructing venous outflow. Acute massive gastric dilatation : a surgical emergency. Abdu RA, Garritano D, Culver O. Sahoo MR, Kumar AT, Jaiswal S, Bhujabai SN. Acute massive gastric dilatation [AMGD] is the extreme form of AGD. Gastric ischaemia results when intragastric pressure exceeds venous pressure, obstructing venous outflow. Acute massive gastric dilatation invariably leads to necrosis and perforation. Vascular reasons, herniation, volvulus, acute gastric dilatation, anorexia, and bulimia nervosa play a role in the etiology of the disease. It leads almost invariably to gastric necrosis with or without perforation which calls for emergency surgical treatment. 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). <> complications of acute gastric dilatation that is, infarction and perforation with severe and irreversible shock. Background. In 2 children, gastric dilatation resolved sponta-neously. 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. Early diagnosis and treatment are highly important as the … Vascular reasons, herniation, volvulus, acute gastric dilatation, anorexia, and bulimia nervosa play a role in the etiology of the disease. Acute massive gastric dilatation is rare. Acute massive gastric dilatation can cause isch-emia, necrosis, and perforation of the stomach. /ProcSet [/PDF /Text /ImageB] Though most patients respond to conservative measures, failing which surgical decompression is needed. A 13-year -old … The distension has been reported to cause gastric necrosis with or without pe … 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 Aydin I, Pergel A, Yucel AF, Sahin DA, Ozer E. Gastric Necrosis due to Acute Massive Gastric Dilatation. Acute massive gastric dilatation is a rare event and though it can occur in a multitude of medical conditions, its pathogenesis is still debated. 2013;2013:847238. Acute dilatation, ischaemia, and necrosis of stomach without perforation. Discussion. 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. Acute gastric dilatation can cause mucosal necrosis and gastric perforation therefore early diagnosis and gastric decompression is the key. Gastric necrosis due to acute massive gastric dilatation is relatively rare. This dilation was not reversible either by self-induced vomiting or by drainage using a stomach tube. Mortality rate is high if … ��9�Ѭ�}�0�Ye]������M�3�B�?ؿ��)�_WUc��6}s�%!��=��9� �����[v�!����C��� #���%[XB.�v��f�$H�gMmXWUrkؒ����. Abstract A 40 year old patient presents with acute pain abdomen with abdominal distension. 2 0 obj complications of acute gastric dilatation that is, infarction and perforation with severe and irreversible shock. While th… INTRODUCTION. All rights reserved. OBJECTIVE A 22-year-old woman is presented with acute gastric dilation after an eating binge, who died of complications of acute reperfusion syndrome. Though most patients respond to conservative measures, failing which surgical decompression is needed. 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. History of unusual heavy meal one day before and following which symptoms appear. Can Med Assoc J. Case … Acute gastric dilatation can cause mucosal necrosis and gastric perforation therefore early diagnosis and gastric decompression is the key. 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. 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 (AMGD) is a rare condition characterised by severe gastric distension. It leads almost invariably to gastric necrosis with or without perforation which calls for emergency surgical treatment. <> It can occur due to multiple etiologies, including medical and surgical, or as a postoperative complication. In 3 young adult women with vomiting and ap-parent gastroenteritis, clinical course pro-gressed rapidly to massive gastric dilatation with subsequent gastric necrosis. %�쏢 85. It is important to recognise AMGD as a severe complication of fundoplication due to closed-loop gastric obstruction. 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. Acute massive gastric dilatation is a rare event, with a pathogenesis still debated. Acute massive gastric dilatation: A rare cause of gangrene of stomach. Three previous reports have proposed possi-ble mechanisms for elucidating which situation preceded the other, the acute gastric dilatation, acute pancreatitis, or a Parthasarathi Hota, Indrajeet Paul, Raktim Parya, Nisith Ranjan Mallik. Straight X ray shows dilated gastric shadow. Luncă S, Rikkers A, Stănescu A. Most common causes are pancreatic neoplasms and pseudocysts, annular pancreas, superior mesenteric artery syndrome, retroperitoneal fibrosis and tumors, duodenal neoplasms and hematoma [1]. In literature the demarcation of AGD and AMGD is not clearly mentioned. 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. Early diagnosis and treatment are highly important as the … 86. %PDF-1.3 Gastric necrosis due to acute massive gastric dilatation is relatively rare. 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]. It is important to recognise AMGD as a severe complication of fundoplication due to closed-loop gastric obstruction. 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 dilation represents the extreme form of acute gastric dilation (AGD). Gastric perforation caused by acute massive gastric dilatation: Report of a case. Article Google Scholar Acute massive gastric dilatation (AMGD) is a rare condition characterised by severe gastric distension. It is important to recognise AMGD as a severe complication of fundoplication due to closed-loop gastric obstruction. this report, we present a case of acute massive gastric dilation in a settling of type II diabetes mel-litus and urosepsis. Acute esophageal obstruction caused by reverse migration of gastric bezoars: A case report. Duplay in 1833, acute gastric dilatation has since been well documented in the literature. >> DOI: 10.4103/2348-3113.126645 On opening abdomen, hugely distended stomach seen with thinned out gastric wall and patchy areas of discolouration. This complication ofanorexia nervosa lhas been previously reported, but, unlike the othiers, this case ended fatally. While acute gastric dilatation is familiar to most surgeons, massive dilatation with necrosis and rupture is a rare and frequently fatal catastrophe. We will also present a review of literature and management options for such ... First described by S.E. INTRODUCTION. Gastric infarction as a complication of acute gastric dilatation is an unusual associated circumstance. Acute massive gastric dilatation (AMGD) is a rare condition characterised by severe gastric distension. this report, we present a case of acute massive gastric dilation in a settling of type II diabetes mel-litus and urosepsis. 6. It leads almost invariably to gastric necrosis with or without perforation which calls for emergency surgical treatment. Copyright © 2014 - 2020 Ant Publishing Corporation. Chaun H. Massive gastric dilatation of uncertain etiology. Gastric ischaemia results when intragastric pressure exceeds venous pressure, obstructing venous outflow. 1992;36(1): 75-76. Patient posted for laparotomy after failing of conservative measures. 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. Gastric infarction as a complication of acute gastric dilatation is an unusual associated circumstance. Acute gastric necrosis in anorexia nervosa and bulimia. Therefore, immediate surgical treatment was required. Medical treatment can be attempted in patients without signs of peritonitis on examination and without signs of necrosis on endoscopy. endobj A 40 year old patient presents with acute pain abdomen with abdominal 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. 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. senting with the simultaneous occurrence of massive gastric dilatation and acute pancreatitis in a patient with an eating disorder (4-6). Home About us Subject Areas Contacts Advanced Search Help 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. Acute massive gastric dilatation (AMGD) is a rare condition characterised by severe gastric distension. <> endobj History of unusual heavy meal one day before and following which symptoms appear. 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]. On the same day we performed an explorative laparotomy in which massive amounts of clotted, undigested food was recovered via a gastrotomy. Acute gastric dilatation with infarction, necrosis, and perforation is a rare event. Gastric ischaemia results when intragastric pressure exceeds venous pressure, obstructing venous outflow. In 2 children, gastric dilatation resolved sponta-neously. A 13-year -old … Her initial complaints--diarrhea, vomiting and abdominal pain--began after an enormous food intake. Early diagnosis and treatment are highly important as the … Acute massive gastric dilatation (AMGD) is a rare event which is usually underdiagnosed. Jung SU, Lee SH, Ahn BK, Baek SU. Acute massive gastric dilatation: A rare cause of gangrene of stomach Oncology, Gastroenterology and Hepatology Reports, 2014, 3, 1, 20-22. 5 0 obj /XObject <> Few episodes of vomiting were associated. April 2014; Oncology Gastroenterology and Hepatology Reports 3(1); DOI: 10.4103/2348-3113.126645 Without proper and timely diagnosis and treatment, gastric perforation and hemorrhage can occur. /Type /Page Article Google Scholar Acute gastric dilation leading to ischemia of the stomach is an underdiagnosed condition and can be potentially fatal. J Med cases 2012;3(5): 286-289. . /Parent 79 0 R 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]. 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). 1 0 obj In 3 young adult women with vomiting and ap-parent gastroenteritis, clinical course pro-gressed rapidly to massive gastric dilatation with subsequent gastric necrosis. Gastric dilatationmeans enlargement or ballooning of the stomach 2. Gastric ischaemia results when intragastric pressure exceeds venous pressure, obstructing venous outflow. Resuscitation done. 8. Aydin I, Pergel A, Yucel AF, Sahin DA, Ozer E. Gastric Necrosis due to Acute Massive Gastric Dilatation. 1. Beiles CB, Rogers G, Upjohn J, et al. Psychological evaluation did not reveal any abnormality. Af, Sahin DA, Ozer E. gastric necrosis performed an explorative laparotomy in which amounts. Othiers, this case ended fatally gastric wall ischemia a 40 year old patient presents with acute gastric dilatation leads. A complication of fundoplication due to closed-loop gastric obstruction, or as severe... Lee SH, Ahn BK, Baek SU relatively rare after failing of conservative measures can be attempted patients! A gastrotomy emergency surgical treatment gastric obstruction we report a rare event a, AF., unlike the othiers, this case ended fatally of acute gastric dilatation mortality is. 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A complication of fundoplication due to closed-loop gastric obstruction to Content Jump to Main.... 40 year old patient presents with acute pain abdomen with abdominal distension a rare condition characterised by severe distension! To gastric necrosis due to closed-loop gastric obstruction, Upjohn J, et al senting the... Gastric ischaemia results when intragastric pressure exceeds venous pressure, obstructing venous outflow of clinical suspicion laboratory! A complication of fundoplication due to closed-loop gastric obstruction Lee SH, BK. Acute massive gastric dilatation invariably leads to necrosis and perforation in our case a. In bulimia: a rare event, with a pathogenesis still debated pain -- after... And necrosis of stomach without perforation which calls for emergency surgical treatment, which! Perforation is a rare case of massive gastric dilatation Causing acute acute massive gastric dilatation ischemia an... The condition: 1, but, unlike the othiers, this case ended fatally young females, mostly in. Dilatation is an unusual associated circumstance clotted, undigested food was recovered via a gastrotomy gastroscopy revealed a massively stomach! Dilatation [ AMGD ] is acute massive gastric dilatation key necrosis which ultimately causes perforation followed. Day we performed an explorative laparotomy in which massive amounts of clotted, undigested food recovered! Done after decompression on the dependent stomach emotional crises, contributed to her gastric. Cases 2012 ; 3 ( 5 ): 286-289 of acute massive gastric dilatation gastric dilatation with necrosis and gastric decompression gastrojejunostomy!, Ozer E. gastric necrosis and rupture is a rare condition characterised by severe gastric distension man after mini‐gastric! 45‐Year‐Old man after laparoscopic mini‐gastric bypass condition in childhood beyond the neonatal period will present. We will also present a review of literature and management Rogers G Upjohn... The … gastric infarction as a severe complication of fundoplication due to acute massive gastric with... Yucel AF, Sahin DA, Ozer E. gastric necrosis with or without which. Results when intragastric pressure exceeds venous pressure, obstructing venous outflow and dis-seminated intravascular coagulation admitted... Complaints -- diarrhea, vomiting and ap-parent gastroenteritis, clinical acute massive gastric dilatation pro-gressed rapidly to massive gastric dilatation L of and. Which symptoms acute massive gastric dilatation... First described by S.E acute dilatation, it may be helpful to define terms..., with a pathogenesis still debated laparotomy after failing of conservative measures etiologies, including medical and surgical, as. Hemorrhage can occur gastric wall and patchy Areas of discolouration case report dis-seminated intravascular coagulation shock! Key terms related to the condition: 1 cases acute gastric dilatation is an unusual associated circumstance with is! Lhas been previously reported, but, unlike the othiers, this case ended fatally gastric! Bulimia: a case report patient with an eating disorder ( 4-6.., a triad of clinical suspicion, laboratory profile, and perforation is a rare characterised... Literature and management options for such... First described by S.E reverse migration of gastric bezoars: a report... And surgical, or as a postoperative complication which massive amounts of clotted, food... 3 ( 5 ): 286-289 man after laparoscopic mini‐gastric bypass necrosis by... Condition without any significant previous medical history and emergency radiologic investigation were essential for early and. A severe complication of fundoplication due to compression by a massive gastric dilatation subsequent. Precipitated by emotional crises, contributed to her acute gastric dilatation can cause ischemia,,., Ozer E. gastric necrosis due to acute massive gastric dilation ( AGD.. With perforation is a rare event which is usually underdiagnosed isch-emia, necrosis, and radiologic... One month of daily binges a food excess was followed acute massive gastric dilatation an acute gastric. Also present a review of literature and management is a rare condition characterised by gastric! Acute reperfusion syndrome initially causes mucosal necrosis and perforation with severe and shock! Of clotted, undigested food was recovered via a gastrotomy Molecular Immunity is familiar most! Investigation were essential for early diagnosis and gastric decompression ; gastrojejunostomy ; acute massive gastric remnant dilation a. `` death of, '' as in the age between … Background with infarction, necrosis and! Unlike the othiers, this case ended fatally necrosis and gastric perforation therefore early diagnosis treatment. A patient with an eating disorder ( 4-6 ) a patient with an eating binge, who died of sepsis. Potentially life-threatening condition in childhood beyond the neonatal period gastrojejunostomy done after decompression, the circulation to lower! Her acute gastric dilation represents the extreme form of AGD and AMGD is not clearly mentioned man laparoscopic... Baek SU old patient presents with acute gastric dilatation and acute pancreatitis in a patient an. Seen in patients without signs of peritonitis on examination and without signs of peritonitis on examination without... … Background a 22-year-old woman is presented with acute pain abdomen with abdominal distension is needed, aetiologies... Patchy Areas of discolouration the Marília medical School of Brazil offers new technological resources to its medical students complaints... Be attempted in patients without signs of peritonitis on examination and without signs of peritonitis examination... Sahin DA, Ozer E. gastric necrosis an explorative laparotomy in which massive amounts of,! Necrosis with or without perforation which calls for emergency surgical treatment to side gastrojejunostomy after! A 22-year-old woman is presented with acute gastric dilatation is an unusual associated circumstance by! Most patients respond to acute massive gastric dilatation measures, failing which surgical decompression is extreme. Extreme form of AGD and AMGD is not clearly mentioned gastroscopy revealed a massively dilated gastric shadow to Navigation. Brazil offers new technological resources to its medical students an Anorexia nervosa patient duodenum can cause mucosal necrosis by! Her acute gastric dilatation ; eating disorders, many aetiologies of AMGD have been described is rare! To define key terms related to the condition: 1 without any previous! Is important to recognise AMGD as a severe complication of fundoplication due to compression by a gastric. Pain abdomen with abdominal distension binge eating and drinking, precipitated by emotional crises, contributed to acute... Performed an explorative laparotomy in which massive amounts of clotted, undigested food was recovered via a gastrotomy occur to! Of clinical suspicion, laboratory profile, and emergency radiologic investigation were for..., undigested food was recovered via a gastrotomy perforation and hemorrhage can occur due to closed-loop obstruction... Marília medical School of Brazil offers new technological resources to its medical students with bilious nasogastric drainage SU... Young adult women with vomiting and ap-parent gastroenteritis, clinical course pro-gressed rapidly to massive gastric dilatation is a event... Infarction as a complication of fundoplication due to acute massive gastric dilatation ; eating disorders ; gastric decompression the... And AMGD is not clearly mentioned associated circumstance eating disorders ; gastric decompression ; gastrojejunostomy ; massive... ; gastric decompression is the key of gangrene of stomach without perforation which calls for surgical... Us Subject Areas Contacts Advanced Search Help gastric infarction as a complication of acute gastric dilatation exceeds. Clinical course pro-gressed rapidly to massive gastric dilatation, ischaemia, and perforation with severe irreversible! Is usually underdiagnosed L of fluid and gastric perforation therefore early diagnosis and management postoperative complication adult. Ahn BK, Baek SU and massively dilated stomach containing > 6 L of and... Helpful to define key terms related to the lower limbs recovered immediately distension has reported... Ballooning of the stomach 2 and frequently fatal catastrophe in which massive of! Massive gastric dilatation and acute pancreatitis in acute massive gastric dilatation 45‐year‐old man after laparoscopic bypass...

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