Acute Massive Gastric Dilatation and Gastric Perforation as a Result of Closed-Loop Obstruction of the Stomach

Abstract

Acute massive gastric dilatation is a rare event that is usually underdiagnosed. It can occur due to multiple etiologies, including medical and surgical, or as a postoperative complication. Acute massive gastric dilatation can lead to life-threatening fatal complications, including perforation, bleeding, or shock. We report a rare case of acute massive gastric dilatation with perforation of the stomach due to closed-loop obstruction of the stomach, which occurred in a patient with cricopharyngeal carcinoma due to a kink at the feeding jejunostomy site. Early diagnosis and treatment are essential, as acute massive gastric dilatation with perforation carries high morbidity and mortality.

Gastritis necrotizante como complicación infrecuente en un paciente pediátrico con leucemia linfoide aguda

“…El papel del estudio histológico suele ser muy limitado, encontrándose frecuentemente datos de gastritis inespecífica, sin embargo, en nuestro caso se confirmó el diagnóstico tanto por endoscopia como por biopsias; descartando otros diagnósticos diferenciales como: neoplasias, ulceración inducida por fármacos e infección viral. La recomendación de considerar siempre la endoscopía diagnóstica en pacientes con sospecha de isquemia gástrica se basa en que este estudio puede confirmar el diagnóstico, estimar la gravedad y extensión de la isquemia gástrica descartando otras patologías 13,14 .…”

Massive gastric dilatation

“…Acute massive gastric dilatation is considered as an extreme distention of the stomach occupying the whole abdominal cavity from the diaphragm to the pelvis and from left to right [1]. Acute massive gastric dilatation may lead to ischemia, necrosis, and perforation of the stomach [2]. Resuscitation and surgical treatment are urgently needed in that life-threatening condition [3].…”