Acute Gastric Dilation With Necrosis: Case Report And Literature Review

Sergey Alexandrovich Klyuev; Igor Vladimirovich Goremykin; Vyacheslav Germanovich Masevkin; Sergey Yurievich Gorodkov; Andrey Vladimirovich Nikolaev; Timur Karipulovich Shintaev; Mustafa Azizoğlu

doi:10.5281/zenodo.7007932

Authors

Sergey Alexandrovich Klyuev Saratov State Medical University named after I.V. Rasumovsky, Department of Pediatric Surgery, Saratov, Russian Federation https://orcid.org/0000-0002-3217-6874
Igor Vladimirovich Goremykin Saratov State Medical University named after I.V. Rasumovsky, Department of Pediatric Surgery, Saratov, Russian Federation https://orcid.org/0000-0002-4697-5634
Vyacheslav Germanovich Masevkin Saratov State Medical University named after I.V. Rasumovsky, Department of Pediatric Surgery, Saratov, Russian Federation https://orcid.org/0000-0001-8539-5854
Sergey Yurievich Gorodkov Saratov State Medical University named after I.V. Rasumovsky, Department of Pediatric Surgery, Saratov, Russian Federation https://orcid.org/0000-0001-9281-6872
Andrey Vladimirovich Nikolaev Saratov State Medical University named after I.V. Rasumovsky, Department of Pediatric Surgery, Saratov, Russian Federation
Timur Karipulovich Shintaev Saratov State Medical University named after I.V. Rasumovsky, Department of Pediatric Surgery, Saratov, Russian Federation https://orcid.org/0000-0002-5370-2618
Mustafa Azizoğlu Dicle University Faculty of Medicine, Department of Pediatric Surgery and Section of Pediatric Urology Diyarbakır, Turkey. https://orcid.org/0000-0002-8266-5203

DOI:

https://doi.org/10.5281/zenodo.7007932

Keywords:

Acute gastric dilation, Gastric necrosis, Complicated gastric dilation, Overeating, Gastric decompression

Abstract

Acute gastric dilation is a rare pathology, which is met at diverse ages and has a high mortality rate if left untreated. This occurs due to several reasons, both due to mechanical obstruction of the stomach, and gastroparesis and due to extragastric causes such as eating disorders. Early placement of an oro- or nasogastric tube may help prevent serious complications such as ischemia and perforation of the gastric wall. The article presents a clinical case of a teenager with a severe degree of gastric dilation due to simultaneous overeating of bulky food and soft carbonated drinks. Due to the inefficacy of conservative measures and the development of severe ischemic alterations of the stomach, surgical intervention was performed.

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