J Gastric Cancer.  2011 Sep;11(3):185-188. 10.5230/jgc.2011.11.3.185.

Acute Gastric Necrosis Due to Gastric Outlet Obstruction Accompanied with Gastric Cancer and Trichophytobezoar

• Lee D
• Sung K
• Lee JH

• KMID: 2055517
• DOI: http://doi.org/10.5230/jgc.2011.11.3.185

Abstract

Gastric necrosis due to gastric outlet obstruction is a very rare condition, but it might be fatal if missed or if diagnosis is delayed. Our patient was a 73-year-old male complaining of abdominal pain, distension and dyspnea for 1 day. In plain radiography and computed tomography, a markedly distended stomach and decreased enhancement at the gastric wall were noted. He underwent explo-laparotomy, and near-total gastric mucosal necrosis accompanied by sludge from the soaked laver was noted. A total gastrectomy with esophagojejunostomy was performed, and he recovered without sequelae. Final pathologic examination revealed advanced gastric cancer at the antrum with near-total gastric mucosal necrosis.

Keyword

Gastric necrosis; Gastric outlet obstruction; Soaked laver; Total gastrectomy; Stomach neoplasms

MeSH Terms

Abdominal Pain
Aged
Dyspnea
Gastrectomy
Gastric Outlet Obstruction
Humans
Male
Necrosis
Sewage
Stomach
Stomach Neoplasms
Sewage

Figure

• 

  Fig. 1 Finding of plain radiography (A) and computed tomography (B). Massive gastric distension and air bubble at perigastric area was shown.

• 

  Fig. 2 Intraoperative finding of status of the gastric mucosa. Near total gastric mucosal necrosis and detached mucosa were noted.

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  Fig. 3 Finding of the resected stomach. Near total gastric mucosal necrosis and longitudinal dehiscence at lesser curvature side were identified (Arrow = longitudinal dehiscence of the gastric wall at the lesser curvature side).

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