Total gastric necrosis: A case report and literature review

Nigerian Journal of Clinical Practice
G Huang, Y Jin

Abstract

Total gastric necrosis is a rare disease and easy to misdiagnose. Here we report a rare case of total gastric necrosis. The patient, an 89-year-old male, had epigastric pain for 5 days. He was transferred to our hospital because of intraperitoneal hemorrhage and hypovolemic shock. We performed an emergency laparotomy. During the surgery, we found a total of 3500ml unclotted blood in the abdomen, splenic infarction and gastric necrosis. Total gastrectomy with Roux-en-Y esophagojejunostromy and splenectomy was performed. However, the patient died on the second day after the surgery. This case suggests that surgical treatment should be performed as early as possible when ischemia of abdominal organs is suspected.

References

Aug 16, 2001·Annals of Surgery·J E BaisH G Gooszen
Oct 12, 2002·The European Journal of Surgery = Acta Chirurgica·Erica J Patocskai, J Meirion Thomas
Jun 25, 2003·Gynecologic Oncology·John L PowellPaul R Moncla
Feb 22, 2012·Pancreas·Andreas RiegerMarc E Martignoni

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Citations

Dec 14, 2018·Journal of Clinical Imaging Science·Driss RaissiS Houssam Mardini

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