Acute Gastric Necrosis in a Teenager
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Date
2020
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Hindawi
Abstract
Gastric infarction is a rare condition often associated with high mortality due to a delay in diagnosis. The stomach which has a rich
supply of blood is a rare site for such a condition. Gastric infarction has a long list of etiological factors. We report a case of a patient
who was managed successfully following gastric infarction from gastric dilatation. An 18-year-old female student presented with a
three-day history of abdominal pain associated with abdominal distension of two days. The abdomen was distended with
generalized tenderness, rebound tenderness, and guarding. Bowel sounds were absent. Digital rectal examination was
unremarkable, and a pregnancy test was negative. Biochemical tests were all normal. Intraoperatively, two litres of
serosanguinous fluid was suctioned from the abdomen. About 300 mL of pus was suctioned from the pelvis. The gangrenous
portion was resected, and repair was done in two layers using Conell and Lambert suture techniques. Acute gastric necrosis is a
rare surgical condition that requires a high index of suspicion and prompts aggressive resuscitation and surgical intervention to
obviate the high mortality rate associated with the condition.
Description
This article is published by Hindawi and is also available at https://doi.org/10.1155/2020/8882179
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Citation
Hindawi Case Reports in Surgery Volume 2020, Article ID 8882179, 4 pages