» Articles » PMID: 30761307

Gastric Necrosis and Perforation Following Massive Gastric Dilatation in an Adolescent Girl: A Rare Cause of Acute Abdomen

Overview
Journal Front Surg
Specialty General Surgery
Date 2019 Feb 15
PMID 30761307
Citations 4
Authors
Affiliations
Soon will be listed here.
Abstract

Gastric necrosis with perforation is a rare and potentially life-threatening condition in childhood beyond the neonatal period. We report a case of gastric necrosis and perforation of a portion of the great curvature due to a massive gastric dilatation caused by pathological aerophagia in a 13-years-old, mentally impaired adolescent girl. Despite the successful surgical treatment, the patient's condition rapidly deteriorated post-operatively and she died due to the multisystem organ failure and multiple infections. In addition, we surveyed the literature on this rare condition and assessed the preventive actions to reduce this life-treating condition.

Citing Articles

Necrotic Excluded Gastric Remnant Post Gastric Bypass: A Rare Fatal Complication.

Mahin H, Sarofim M, Lim C Cureus. 2020; 12(11):e11559.

PMID: 33224683 PMC: 7676954. DOI: 10.7759/cureus.11559.


Acute Gastric Necrosis in a Teenager.

Yorke J, Gyamfi F, Awoonor-Williams R, Osei-Akoto E, Acheampong E, Acheampong E Case Rep Surg. 2020; 2020:8882179.

PMID: 33062369 PMC: 7533009. DOI: 10.1155/2020/8882179.


Massive gastric distension due to signet-ring cell gastric adenocarcinoma.

Zakaria A, Khan F, Ahmad S, Turk I, Levinson J J Family Med Prim Care. 2020; 9(5):2558-2561.

PMID: 32754546 PMC: 7380801. DOI: 10.4103/jfmpc.jfmpc_170_20.


Case report of extreme gastric distention and perforation with pathologic Sarcina ventriculi colonization and Rett syndrome.

Lopez C, Kovler M, Jelin E Int J Surg Case Rep. 2020; 73:210-212.

PMID: 32702650 PMC: 7378313. DOI: 10.1016/j.ijscr.2020.07.025.

References
1.
van der Kolk M, Bender M, Goris R . Acute abdomen in mentally retarded patients: role of aerophagia. Report of nine cases. Eur J Surg. 1999; 165(5):507-11. DOI: 10.1080/110241599750006802. View

2.
Loening-Baucke V . Aerophagia as cause of gaseous abdominal distention in a toddler. J Pediatr Gastroenterol Nutr. 2000; 31(2):204-7. DOI: 10.1097/00005176-200008000-00026. View

3.
Patocskai E, Thomas J . Gastric necrosis in a patient with bulimia. Eur J Surg. 2002; 168(5):302-4. DOI: 10.1002/ejs.50. View

4.
Caplan A, Walker L, Rasquin A . Validation of the pediatric Rome II criteria for functional gastrointestinal disorders using the questionnaire on pediatric gastrointestinal symptoms. J Pediatr Gastroenterol Nutr. 2005; 41(3):305-16. DOI: 10.1097/01.mpg.0000172749.71726.13. View

5.
Hwang J, Choi W, Kim J, Lee S, Jung C, Lee Y . Clinical features of pathologic childhood aerophagia: early recognition and essential diagnostic criteria. J Pediatr Gastroenterol Nutr. 2005; 41(5):612-6. DOI: 10.1097/01.mpg.0000179856.68968.e0. View