Acute Gastric Necrosis in a Teenager. (25th September 2020)

• Record Type: Journal Article
• Authors: Yorke, Joseph; Gyamfi, Frank Enoch; Awoonor-Williams, Ronald; Osei-Akoto, Ebenezer; Acheampong, Emmanuel; Acheampong, Emmanuella Nsenbah; Adinku, Michael Ofoe; Yamoah, Francis Akwaw; Konney, Thomas Okpoti; Adjei, Ernest; Boateng, Edward Amoah; Dally, Charles Kofi; Ababio, Kwabena Acheamfour; Afful-Yorke, Dennis; Ahulu, Dorcas
• Other Names: Kosugi Shin ichi Academic Editor.
• Is Part Of: Case reports in surgery. Volume 2020(2020)
• Publication Date: 2020-09-25
• Subjects: Surgery -- Periodicals; Surgery -- Case studies -- Periodicals; Surgical Procedures, Operative; General Surgery; Surgery; Electronic journals; Periodicals; Case studies; Periodicals; Case Reports; Fulltext; Internet Resources; Periodicals; 617
• DOI: 10.1155/2020/8882179
• Languages: English
• ISSNs: 2090-6900

Abstract

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.