Idiopathic gastric partial necrosis

¹ Department of General Surgery and Digestive Diseases, Lucus Augusti University Hospital, Lugo, Spain

² Department of General Surgery and Digestive Diseases, Lucus Augusti University Hospital, Lugo, Spain

³ Department of General Surgery and Digestive Diseases, Lucus Augusti University Hospital, Lugo, Spain

⁴ Department of General Surgery and Digestive Diseases, Lucus Augusti University Hospital, Lugo, Spain

⁵ Department of General Surgery and Digestive Diseases, Lucus Augusti University Hospital, Lugo, Spain

⁶ Department of General Surgery and Digestive Diseases, Lucus Augusti University Hospital, Lugo, Spain

⁷ Department of General Surgery and Digestive Diseases, Lucus Augusti University Hospital, Lugo, Spain

⁸ Department of General Surgery and Digestive Diseases, Lucus Augusti University Hospital, Lugo, Spain

Abstract

We present the case of an elderly patient, who had orthopaedic surgery and suffered in the early post-operative period an idiopathic gastric partial necrosis. We reviewed the literature and it is an extraordinarily infrequent entity. Partial resections have already been described in case of limited necrosis, as reported in our case. Prompt diagnosis of idiopathic gastric necrosis and aggressive treatment are mandatory. Further awareness of this strange entity and its risk factors can lead to a quicker diagnosis and higher possibilities of survival for the patient.

KeywordsGastricNecrosisOrthopedic Surgery

Vettoretto, N., Viotti, F., Taglietti, L. and Giovanelti, M. (2010) Acute idiopathic gastric necrosis, perforation and shock. Journal of Emergencies, Trauma and Shock, 3, 304. http://dx.doi.org/10.4103/0974-2700.66564
Somervell, T.H. (1945) Physiologic gastrectomy. British Journal of Surgery, 33, 146. http://dx.doi.org/10.1002/bjs.18003313010
Mahajna, A., Mitkal, S. and Krausz, M.M. (2008) Postoperative gastric dilatation causing abdominal compartment syndrome. World Journal of Emergency Surgery, 3, 7. http://dx.doi.org/10.1186/1749-7922-3-7
Arie, E., Uri, G. and Bickel, A. (2008) Acute gastric dilatation, necrosis and perforation complicating restrictivetype anorexia nervosa. Journal of Gastrointestinal Surgery, 12, 985-987. http://dx.doi.org/10.1007/s11605-007-0414-6
Patocskai, E.J. and Thomas, J.M. (2002) Gastric necrosis in a patient with bulimia. European Journal of Surgery, 168, 302-304. http://dx.doi.org/10.1002/ejs.50
Liu, T.H., Mehall, J.R. and Mercer, D.W. (2001) Image of the month: Acute gastric dilatation with necrosis. Archives of Surgery, 136, 1437-1438. http://dx.doi.org/10.1001/archsurg.136.12.1437

Menu

Idiopathic gastric partial necrosis

Abstract

References (6)