Gastric Emphysema Related with Superior Mesenteric Artery Syndrome

Lee, Yu Min; Song, Hyun Joo; Na, Soo Young; Boo, Sun Jin; Kim, Heung Up; Kim, Seung Hyoung

doi:10.12771/emj.2014.37.2.141

Cited by 1 publication

(1 citation statement)

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“…Endoscopic findings in patients with gastric pneumatosis include diffusely ulcerated, edematous hemorrhagic gastric mucosa, mucosal hemorrhage [ 10 ], absence of mucosal folds, mucosal edema, necrotic mucosa [ 11 ], gastric mucosal congestion [ 12 ], severe circumferential erythema, erosions, exudates, friability of irregularly thickened proximal gastric folds [ 13 ], violaceous and pale mucosa in the stomach, gastric infarction [ 14 ], strictures [ 15 ], ulcer-like lesions covered by pus, multiple small mucosal defects [ 16 ], and diffuse erythema, edema, erosion, and sloughing of the gastric mucosa [ 17 ]. In this present case, the endoscopic findings helped diagnose gastric pneumatosis.…”

Section: Discussionmentioning

confidence: 99%

Gastric Pneumatosis and Its Gastrofibroscopic Findings in Life-Threatening Superior Mesenteric Artery Syndrome Complicated by Anorexia Nervosa in a Child

Seo,

Lee,

Choi

et al. 2023

Pediatr Gastroenterol Hepatol Nutr

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A 14-year-old girl was admitted to the emergency department for excessive bile-containing vomiting and severe abdominal pain. She had been healthy until she intentionally lost 25 kg over a 6-month period. Thick, bloody bile-mixed food particles were drained from the stomach through a nasogastric tube. Abdominal computed tomography revealed huge stomach dilatation with extensive gastric pneumatosis, possible near rupture, acute pancreatitis, and a very narrow third of the duodenum, indicating superior mesenteric syndrome. Gastrofibroscopy revealed multiple hemorrhagic ulcers and numerous bead-like cystic lesions in the stomach. Laboratory examination results were notable for severe deficiencies in critical nutrients, including iron, zinc, proteins, and prealbumin, as well as undernutrition-associated endocrine complications such as hypothyroidism and hypogonadotropic hypogonadism. Excessive vomiting ceased after the endoscopic removal of stagnant gastric contents. Gastric pneumatosis improved after 3 days of supportive care.

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