scholarly journals Dobutamine stress echocardiography resulting in acute gastric dilatation and pneumoporta

2016 ◽  
Vol 98 (8) ◽  
pp. e157-e159 ◽  
Author(s):  
JML Williamson ◽  
D Mahon
Keyword(s):  
Nasogastric Tube ◽  
Dobutamine Stress Echocardiography ◽  
Outlet Obstruction ◽  
Dobutamine Stress ◽  
Gastric Dilatation ◽  
Increased Risk ◽  
Acute Gastric Dilatation ◽  
Stress Echo ◽  
Hepatic Portal Vein ◽  
Hepatic Portal

Acute gastric dilatation is a rare cause of gas within the hepatic portal vein, but one that is important to recognise as prompt decompression via a nasogastric tube is usually successful in resolving the situation. We report the rare case of a 68-year-old man with spontaneous acute gastric dilatation 50 minutes after a dobutamine stress echo that resulted in pneumoporta. The patient had a Nissen’s fundoplication 18 months previously; patients with previous antireflux surgery or who have a degree of gastric outlet obstruction may be at increased risk of this unusual condition. Conservative management, with placement of a nasogastric tube was successful in resolving his symptoms.

scholarly journals Hepatic portal vein gas associated with intestinal ischemia and acute gastric dilatation

2020 ◽  
Author(s):  
YUN PAN
Keyword(s):  
Portal Vein ◽  
Intestinal Ischemia ◽  
Radiographic Finding ◽  
Gastric Dilatation ◽  
Short Period ◽  
Acute Gastric Dilatation ◽  
Life Threatening ◽  
Hepatic Portal Vein ◽  
Hepatic Portal ◽  
Highly Sensitive Detection

Abstract Background Hepatic portal vein gas is a rare and alarming radiographic finding for patients especially those who had intestinal ischemia. It often indicates a very serious infection and could result in infectious shock even death in a very short period of time, even though the mortality of hepatic portal vein gas went down with the increased use of computed tomography and ultrasound in the patient which allows early and highly sensitive detection of such severe illnesses. Case presentation Here a case was described in which the patient who had hepatic portal vein gas associated with intestinal ischemia and acute gastric dilatation died in a short time. Conclusions Attention must be paid closely to the patient who has hepatic portal vein gas associated with intestinal ischemia, and something must be done because it often indicates a life-threatening acute abdomen.

scholarly journals Acute Gastric Dilatation: A Transient Cause of Hepatic Portal Venous Gas—Case Report and Review of the Literature

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Satya B. Allaparthi ◽  
Curuchi P. Anand
Keyword(s):  
Computed Tomography ◽  
Outlet Obstruction ◽  
Gastric Dilatation ◽  
Significant Finding ◽  
Hepatic Portal Venous Gas ◽  
Abdominal Radiography ◽  
Portal Venous Gas ◽  
Acute Gastric Dilatation ◽  
Plain Abdominal Radiography ◽  
Hepatic Portal

Gastric pneumatosis (GP) and hepatic portal venous gas (HPVG) have typically been thought of as an ominous radiological sign associated with a grave prognosis, and the observation of HPVG on plain abdominal radiography, ultrasonography, or computed tomography is viewed as a significant finding. It is often associated with severe or potentially lethal conditions warranting urgent diagnosis and possible surgical intervention. Early studies of HPVG based on plain abdominal radiography found an associated mortality rate of 75% primarily due to ischemic bowel. However, modern abdominal computed tomography (CT) has resulted in the detection of HPVG in an increased proportion of nonfatal and benign conditions. We report a nonfatal case of HPVG in a patient with Noonan’s syndrome due to acute gastric dilatation in the setting of gastric outlet obstruction caused by a congenital band that is extremely rare in adults.

scholarly journals Acute Gastric Dilatation: A Cause for Concern

2021 ◽  
pp. 171-177
Author(s):  
Danial Haris Shaikh ◽  
Abhilasha Jyala ◽  
Shehriyar Mehershahi ◽  
Chandni Sinha ◽  
Sridhar Chilimuri
Keyword(s):  
Nasogastric Tube ◽  
Radiological Finding ◽  
Plain Film ◽  
Tube Placement ◽  
Gastric Dilatation ◽  
Acute Hyperglycemia ◽  
Acute Gastric Dilatation ◽  
Physician Awareness ◽  
Gastric Emphysema ◽  
Nasogastric Tube Placement

Acute gastric dilatation is the radiological finding of a massively enlarged stomach as seen on plain film X-ray or a computerized tomography scan of the abdomen. It is a rare entity with high mortality if not treated promptly and is often not reported due to a lack of physician awareness. It can occur due to both mechanical obstruction of the gastric outflow tract, or due to nonmechanical causes, such as eating disorders and gastroparesis. Acute hyperglycemia without diagnosed gastroparesis, such as in patients with diabetic ketoacidosis, may also predispose to acute gastric dilatation. Prompt placement of a nasogastric tube can help deter its serious complications of gastric emphysema, ischemia, and/or perforation. We present our experience of 2 patients who presented with severe hyperglycemia and were found to have acute gastric dilation on imaging. Only one of the patients was treated with nasogastric tube placement for decompression and eventually made a full recovery.

scholarly journals ACUTE GASTRIC DILATATION WITH HEPATIC PORTAL VENOUS GAS

2003 ◽  
Vol 64 (7) ◽  
pp. 1720-1724 ◽  
Author(s):  
Hiroaki OMORI ◽  
Hiroshi ASAHI ◽  
Yoshihiro INOUE ◽  
Takashi IRINODA ◽  
Kazuyoshi SAITO
Keyword(s):  
Gastric Dilatation ◽  
Hepatic Portal Venous Gas ◽  
Portal Venous Gas ◽  
Acute Gastric Dilatation ◽  
Hepatic Portal

scholarly journals First 100 Dobutamine Stress Echocardiography in Medicare National Hospital, Nepal

2004 ◽  
Vol 3 (3) ◽  
pp. 32-34
Author(s):  
Abani B Upadhyaya ◽  
Denis Shrestha
Keyword(s):  
Myocardial Ischemia ◽  
Risk Stratification ◽  
Stress Echocardiography ◽  
Dobutamine Stress Echocardiography ◽  
Dobutamine Stress ◽  
National Hospital ◽  
Non Invasive ◽  
Stress Echo

In patients with known or suspected CAD, diagnosis and risk stratification can be aided by non-invasive tests for myocardial ischemia. The scientific use of stress echo, started twenty years ago and for at least a decade, it has been considered a method of established usefulness. Medicare National Hospital, Kathmandu introduced stress echo, in June 2003 and has performed over 140 stress echo. so far, out of which 130 are dobutamine stress echo. The data of first 100-dobutamine-stress echo. were analyzed and presented.

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