Extensive gastric necrosis secondary to acute gastric dilatation: A case report

被引：7
|
作者：
Murakami, Chikako [1 ]
Irie, Wataru [1 ]
Sasaki, Chizuko [1 ]
Nakamaru, Naomi [1 ]
Sakamoto, Momoko [1 ]
Nagato, Junpei [1 ]
Satoh, Fumiko [1 ]
机构：
[1] Kitasato Univ, Sch Med, Dept Legal Med, Minami Ku, 1-15-1 Kitasato, Sagamihara, Kanagawa 2520374, Japan
来源：
LEGAL MEDICINE | 2019年 / 36卷
关键词：
Acute gastric dilatation; Gastric necrosis; Superior mesenteric artery syndrome; SPONTANEOUS RUPTURE; STOMACH; DEATH;
D O I：
10.1016/j.legalmed.2018.11.007
中图分类号：
DF [法律]; D9 [法律]; R [医药、卫生];
学科分类号：
0301 ; 10 ;
摘要：
We report a case of sudden death in a patient who developed extensive gastric necrosis secondary to acute gastric dilatation. A 36-year-old man with mental retardation (but without difficulties in activities of daily living), developed an illness after a meal out with friends, necessitating 3 hospital visits. He returned home after receiving drug therapy; however, his condition deteriorated, and he was transferred to our hospital via ambulance. Whole-body computed tomography performed upon admission revealed gastric dilatation. A stomach tube was inserted, and 2000 mL of gastric aspirate was obtained. The patient died approximately 5 h later despite receiving treatment. Autopsy revealed 1000 mL of gastric contents and extensive gastric necrosis. He was diagnosed with extensive gastric necrosis secondary to acute gastric dilatation.
引用
收藏
页码：85 / 88
页数：4
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