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肠系膜缺血继发急性胃坏死:一例报告及文献综述

Acute Gastric Necrosis Secondary to Mesenteric Ischemia: A Case Report and Literature Review.

作者信息

González García Julio, Cruz Hernandez Belen Domingo, Pérez Solis Luis Fernando, Pucheta Hernández Natalia A, Trujillo Rodríguez Jesus Eduardo, Martinez Bravo Victor M

机构信息

Surgery, Instituto Mexicano del Seguro Social, Colima, MEX.

Surgery, Universidad Xochicalco Ensenada, Ensenada, MEX.

出版信息

Cureus. 2024 Dec 31;16(12):e76680. doi: 10.7759/cureus.76680. eCollection 2024 Dec.

Abstract

Acute gastric dilation and necrosis, although rare, are most commonly associated with eating disorders. We present a case of a patient with a history of prior fundoplication and complete intestinal obstruction, which led to severe gastric dilation and subsequent gastric necrosis. The condition was successfully managed through partial gastrectomy. Initial management involved gastric decompression with a nasogastric tube and fluid resuscitation. Surgical intervention remains the definitive treatment in most reported cases. Early diagnosis and timely intervention are critical to improving outcomes and minimizing morbidity and mortality.

摘要

急性胃扩张和坏死虽然罕见,但最常与饮食失调有关。我们报告一例有既往胃底折叠术和完全性肠梗阻病史的患者,该患者出现了严重的胃扩张并随后发生胃坏死。通过部分胃切除术成功治疗了该病症。初始治疗包括使用鼻胃管进行胃减压和液体复苏。在大多数报道的病例中,手术干预仍然是确定性治疗方法。早期诊断和及时干预对于改善预后以及将发病率和死亡率降至最低至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7fc/11688253/a89df4c67227/cureus-0016-00000076680-i01.jpg

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