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Case Reports in Surgery
Volume 2013 (2013), Article ID 984594, 4 pages
http://dx.doi.org/10.1155/2013/984594
Case Report

Acute Dilatation, Ischemia, and Necrosis of Stomach without Perforation

Department of Surgery, SCB. Medical College, Cuttack, Odisha 753007, India

Received 28 July 2013; Accepted 27 August 2013

Academic Editors: A. Cho, S. Landen, and M. Picchio

Copyright © 2013 Manash Ranjan Sahoo et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Acute gastric dilatation can have multiple etiologies which may lead to ischemia of the stomach. Without proper timely diagnosis and treatment, potentially fatal events such as gastric perforation, haemorrhage, and other serious complications can occur. Here we present a 36-year-old man who came to the casualty with pain abdomen and distension for 2 days. Clinically, abdomen was asymmetrically distended more in the left hypochondrium and epigastrium region. Straight X-ray abdomen showed opacified left hypochondrium with nonspecific gaseous distension of bowel. Exploratory laparotomy revealed dilated stomach with patchy gangrene over lesser curvature and fundic area. About 4 litres of brownish fluid along with semisolid undigested food particles was sucked out (mainly undigested pieces of meat). Limited resection of gangrenous areas and primary repair were done along with feeding jejunostomy. Necrosis of the stomach was confirmed on histopathology. The patient recovered well and was discharged on the tenth postoperative day.