2013;2013:847238. J Med cases 2012;3(5): 286-289. Chaun H. Massive gastric dilatation of uncertain etiology. 1. A side to side gastrojejunostomy done after decompression on the dependent stomach. While acute gastric dilatation is familiar to most surgeons, massive dilatation with necrosis and rupture is a rare and frequently fatal catastrophe. 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 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]. A 13-year -old … 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 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 gastric necrosis in anorexia nervosa and bulimia. Early diagnosis and treatment are highly important as the … 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 dilatation (AMGD) is a rare distinctive condition but associates with high morbidity and mortality. Though usually seen in patients with eating disorders, many aetiologies of AMGD have been described. 1987; 122(7):830-832. AGD complicated with gastric … Acute dilatation, ischaemia, and necrosis of stomach without perforation. CT is important in revealing the diagnosis and etiology. Though most patients respond to conservative measures, failing which surgical decompression is needed. Luncă S, Rikkers A, Stănescu A. Three previous reports have proposed possi-ble mechanisms for elucidating which situation preceded the other, the acute gastric dilatation, acute pancreatitis, or a 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 []. 2013;2013:847238. Acute gastric dilation leading to ischemia of the stomach is an underdiagnosed condition and can be potentially fatal. It leads almost invariably to gastric necrosis with or without perforation which calls for emergency surgical treatment. Acute gastric dilatation; eating disorders; gastric decompression; gastrojejunostomy; acute massive gastric dilatation, Journal of Infection and Molecular Immunity. In 2 children, gastric dilatation resolved sponta-neously. One indi-vidual died of overwhelming sepsis and dis-seminated intravascular coagulation. 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. Early diagnosis and treatment are highly important as the … History of unusual heavy meal one day before and following which symptoms appear. >> While th… 5 0 obj Article Google Scholar Patient posted for laparotomy after failing of conservative measures. Acute massive gastric dilatation is a rare event and though it can occur in a multitude of medical conditions, its pathogenesis is still debated. Binge eating and drinking, precipitated by emotional crises, contributed to her acute gastric dilatation. Psychological evaluation did not reveal any abnormality. 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. Aydin I, Pergel A, Yucel AF, Sahin DA, Ozer E. Gastric Necrosis due to Acute Massive Gastric Dilatation. Duplay in 1833, acute gastric dilatation has since been well documented in the literature. Gastric necrosis with perforation is a rare and potentially life-threatening condition in childhood beyond the neonatal period. 7. 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. 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��^�������)� Beiles CB, Rogers G, Upjohn J, et al. It leads almost invariably to gastric necrosis with or without perforation which calls for emergency surgical treatment. /Rotate 0 Gastric infarction as a complication of acute gastric dilatation is an unusual associated circumstance. In most cases First described by S.E. 1 0 obj 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. Acute massive gastric dilatation can cause ischemia, necrosis, and perforation of the stomach. Acute massive gastric dilatation is a rare event, with a pathogenesis still debated. Acute massive gastric dilatation [AMGD] is the extreme form of AGD. Vascular reasons, herniation, volvulus, acute gastric dilatation, anorexia, and bulimia nervosa play a role in the etiology of the disease. /XObject <> To understand acute massive gastric dilatation, it may be helpful to define key terms related to the condition: 1. Acute massive gastric dilatation (AMGD) is a rare condition characterised by severe gastric distension. acute dramatic gastric distention. /Font <> <> this report, we present a case of acute massive gastric dilation in a settling of type II diabetes mel-litus and urosepsis. It is important to recognise AMGD as a severe complication of fundoplication due to closed-loop gastric obstruction. Early diagnosis and treatment are highly important as the … Gastric ischaemia results when intragastric pressure exceeds venous pressure, obstructing venous outflow. Home About us Subject Areas Contacts Advanced Search Help Gastric dilatationmeans enlargement or ballooning of the stomach 2. Gastric ischaemia results when intragastric pressure exceeds venous pressure, obstructing venous outflow. It is important to recognise AMGD as a severe complication of fundoplication due to closed-loop gastric obstruction. INTRODUCTION. 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