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Phlegmonous gastritis secondary to superior mesenteric artery syndrome
We herein report a case of phlegmonous gastritis secondary to superior mesenteric artery syndrome. An 80-year-old woman visited the hospital emergency department with the chief complaints of epigastric pain and vomiting. She was hospitalized urgently following the diagnosis of superior mesenteric ar...
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Published in: | SAGE open medical case reports 2015-01, Vol.3, p.2050313X15596651 |
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creator | Nomura, Kosuke Iizuka, Toshiro Yamashita, Satoshi Kuribayashi, Yasutaka Toba, Takahito Yamada, Akihiro Furuhata, Tsukasa Kikuchi, Daisuke Matsui, Akira Mitani, Toshifumi Ogawa, Osamu Hoteya, Shu Inoshita, Naoko Kaise, Mitsuru |
description | We herein report a case of phlegmonous gastritis secondary to superior mesenteric artery syndrome. An 80-year-old woman visited the hospital emergency department with the chief complaints of epigastric pain and vomiting. She was hospitalized urgently following the diagnosis of superior mesenteric artery syndrome based on abdominal computed tomography findings. Conservative therapy was not effective, and phlegmonous gastritis was diagnosed based on the findings of upper gastrointestinal endoscopy and biopsy performed on the 12th day of the disease. Undernutrition and reduced physical activity were observed on hospital admission, and proactive nutritional therapy with enteral nutrition was started. An upper gastrointestinal series, performed approximately 1 month later, confirmed the persistence of strictures and impaired gastric emptying. Because conservative therapy was unlikely to improve oral food intake, open total gastrectomy was performed on the 94th day of the disease. Examination of surgically resected specimens revealed marked inflammation and fibrosis, especially in the body of the stomach. Following a good postoperative recovery, the patient was able to commence oral intake and left our hospital on foot approximately 1 month after surgery. |
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An 80-year-old woman visited the hospital emergency department with the chief complaints of epigastric pain and vomiting. She was hospitalized urgently following the diagnosis of superior mesenteric artery syndrome based on abdominal computed tomography findings. Conservative therapy was not effective, and phlegmonous gastritis was diagnosed based on the findings of upper gastrointestinal endoscopy and biopsy performed on the 12th day of the disease. Undernutrition and reduced physical activity were observed on hospital admission, and proactive nutritional therapy with enteral nutrition was started. An upper gastrointestinal series, performed approximately 1 month later, confirmed the persistence of strictures and impaired gastric emptying. Because conservative therapy was unlikely to improve oral food intake, open total gastrectomy was performed on the 94th day of the disease. Examination of surgically resected specimens revealed marked inflammation and fibrosis, especially in the body of the stomach. Following a good postoperative recovery, the patient was able to commence oral intake and left our hospital on foot approximately 1 month after surgery.</description><identifier>ISSN: 2050-313X</identifier><identifier>EISSN: 2050-313X</identifier><identifier>DOI: 10.1177/2050313X15596651</identifier><identifier>PMID: 27489695</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Case Report</subject><ispartof>SAGE open medical case reports, 2015-01, Vol.3, p.2050313X15596651</ispartof><rights>The Author(s) 2015</rights><rights>The Author(s) 2015 2015 SAGE Publications</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c397t-bdcc0a59c6ea0a89bba4fa5876f45eaf92e65d31c70764feb4061d6199f810353</citedby><cites>FETCH-LOGICAL-c397t-bdcc0a59c6ea0a89bba4fa5876f45eaf92e65d31c70764feb4061d6199f810353</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4857326/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4857326/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,21966,27853,27924,27925,44945,45333,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27489695$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nomura, Kosuke</creatorcontrib><creatorcontrib>Iizuka, Toshiro</creatorcontrib><creatorcontrib>Yamashita, Satoshi</creatorcontrib><creatorcontrib>Kuribayashi, Yasutaka</creatorcontrib><creatorcontrib>Toba, Takahito</creatorcontrib><creatorcontrib>Yamada, Akihiro</creatorcontrib><creatorcontrib>Furuhata, Tsukasa</creatorcontrib><creatorcontrib>Kikuchi, Daisuke</creatorcontrib><creatorcontrib>Matsui, Akira</creatorcontrib><creatorcontrib>Mitani, Toshifumi</creatorcontrib><creatorcontrib>Ogawa, Osamu</creatorcontrib><creatorcontrib>Hoteya, Shu</creatorcontrib><creatorcontrib>Inoshita, Naoko</creatorcontrib><creatorcontrib>Kaise, Mitsuru</creatorcontrib><title>Phlegmonous gastritis secondary to superior mesenteric artery syndrome</title><title>SAGE open medical case reports</title><addtitle>SAGE Open Med Case Rep</addtitle><description>We herein report a case of phlegmonous gastritis secondary to superior mesenteric artery syndrome. An 80-year-old woman visited the hospital emergency department with the chief complaints of epigastric pain and vomiting. She was hospitalized urgently following the diagnosis of superior mesenteric artery syndrome based on abdominal computed tomography findings. Conservative therapy was not effective, and phlegmonous gastritis was diagnosed based on the findings of upper gastrointestinal endoscopy and biopsy performed on the 12th day of the disease. Undernutrition and reduced physical activity were observed on hospital admission, and proactive nutritional therapy with enteral nutrition was started. An upper gastrointestinal series, performed approximately 1 month later, confirmed the persistence of strictures and impaired gastric emptying. Because conservative therapy was unlikely to improve oral food intake, open total gastrectomy was performed on the 94th day of the disease. Examination of surgically resected specimens revealed marked inflammation and fibrosis, especially in the body of the stomach. 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An 80-year-old woman visited the hospital emergency department with the chief complaints of epigastric pain and vomiting. She was hospitalized urgently following the diagnosis of superior mesenteric artery syndrome based on abdominal computed tomography findings. Conservative therapy was not effective, and phlegmonous gastritis was diagnosed based on the findings of upper gastrointestinal endoscopy and biopsy performed on the 12th day of the disease. Undernutrition and reduced physical activity were observed on hospital admission, and proactive nutritional therapy with enteral nutrition was started. An upper gastrointestinal series, performed approximately 1 month later, confirmed the persistence of strictures and impaired gastric emptying. Because conservative therapy was unlikely to improve oral food intake, open total gastrectomy was performed on the 94th day of the disease. 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title | Phlegmonous gastritis secondary to superior mesenteric artery syndrome |
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