Case report: gastric ischemia, a fatal disease of gastric pneumatosis

Background Gastric pneumatosis indicates the presence of air within the stomach wall. The etiologies included gastric ischemia, gastric intramural infection, gastric mucosal disruption, and secondary to pneumomediastinum. Gastric ischemia is rare because of the rich collateral blood supply to the st...

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Bibliographic Details
Published in:BMC gastroenterology 2021-10, Vol.21 (1), p.1-368, Article 368
Main Authors: Chiang, Hsueh-Chien, Chuang, Chiao-Hsiung
Format: Article
Language:English
Subjects:
Abdomen
Antibiotics
Blood
Blood pressure
Case Report
Case studies
Complications and side effects
Computed tomography
Diagnosis
Emergency medical care
Endoscopy
Etiology
Fever
Gastric ischemia
Gastric pneumatosis
Gastroenterology
Hypotension
Infections
Intervention
Ischemia
Mortality
Mucosa
Pain
Risk factors
Sepsis
Stomach
Stomach diseases
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Summary:Background Gastric pneumatosis indicates the presence of air within the stomach wall. The etiologies included gastric ischemia, gastric intramural infection, gastric mucosal disruption, and secondary to pneumomediastinum. Gastric ischemia is rare because of the rich collateral blood supply to the stomach. Case presentation An 82-year-old man presented to the emergency department with a 2-day history of epigastric fullness, following by fever and low blood pressure. Chest X-ray and abdominal computed tomography revealed gastric pneumatosis at the gastric fundus. The esophagogastroduodenoscopy confirmed the ischemic change of mucosa at the gastric fundus. After antibiotics and medical management, the patient became better and was eventually discharged. Conclusion For the diagnosis of gastric ischemia, physicians should be alert to the hints of gastric pneumatosis from X-ray and computed tomography. It is important to distinguish between gastric ischemia and the other causes of gastric pneumatosis to judge clinical management. Keywords: Gastric pneumatosis, Gastric ischemia, Endoscopy
ISSN:1471-230X
1471-230X
DOI:10.1186/s12876-021-01942-y