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Case Reports
. 2020 Sep 25:2020:8882179.
doi: 10.1155/2020/8882179. eCollection 2020.

Acute Gastric Necrosis in a Teenager

Joseph Yorke  1   2 , Frank Enoch Gyamfi  1 , Ronald Awoonor-Williams  1 , Ebenezer Osei-Akoto  1 , Emmanuel Acheampong  3 , Emmanuella Nsenbah Acheampong  3 , Michael Ofoe Adinku  1 , Francis Akwaw Yamoah  1 , Thomas Okpoti Konney  4 , Ernest Adjei  5 , Edward Amoah Boateng  1 , Charles Kofi Dally  1 , Kwabena Acheamfour Ababio  6 , Dennis Afful-Yorke  1 , Dorcas Ahulu  6
Affiliations
Case Reports

Acute Gastric Necrosis in a Teenager

Joseph Yorke et al. Case Rep Surg. .

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.

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Conflict of interest statement

The authors declare they have no conflict of interest.

Figures

Figure 1
Figure 1
Appearance of the stomach after exposing the posterior wall.
Figure 2
Figure 2
Excision of the necrotic portion of the stomach.
Figure 3
Figure 3
(a, b) Histopathological micrographs of partial gastrectomy tissues.
See this image and copyright information in PMC

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