Acute Gastric Dilatation in a 13 Year Old Child. A Case Report

SummaryAcute gastric dilatation is a rare and life threatening disease. The usual symptoms of acute gastric dilatation can vary and be nonspecific, including acute abdominal pain, abdominal distension, nausea and vomiting. Many aetiologies of acute gastric dilatation are described. This article presents a case of a 13 year old girl who presented in our clinic with acute gastric dilatation after an orthopaedic operation. Clinical signs and a diagnostic pathway are presented in the report. In the early treatment of acute gastric dilatation, nasogastric tube insertion was used for gastric decompression. As a surgical approach jejunostomy insertion was used to ensure enteral feeding. Our case study shows that the optimal treatment for this pathology is mainly conservative.

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Acute gastric dilatation: a life‐threatening early complication following laparoscopic hiatus hernia repair

ANZ Journal of Surgery ◽

10.1111/ans.16267 ◽

2020 ◽

Author(s):

Melissa Wee ◽

David S. Liu ◽

Sarah K. Thompson

Keyword(s):

Hernia Repair ◽

Hiatus Hernia ◽

Gastric Dilatation ◽

Early Complication ◽

Acute Gastric Dilatation ◽

Life Threatening

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Datura seed intoxication in two horses : case report

Journal of the South African Veterinary Association ◽

10.4102/jsava.v69i1.806 ◽

1998 ◽

Vol 69 (1) ◽

Cited By ~ 13

Author(s):

M.L. Schulman ◽

L.A. Bolton

Keyword(s):

Case Report ◽

Paralytic Ileus ◽

Clinical Signs ◽

Gastric Dilatation ◽

Feed Supplement ◽

Acute Gastric Dilatation

A sunflower-based feed supplement grossly contaminated with the seed of a Datura sp. resulted in severe signs of poisoning in 2 horses. One horse died peracutely of acute gastric dilatation and rupture following ingestion of the contaminated feed. The 2nd horse developed unresponsive paralytic ileus that led to euthanasia. Examination of the feed and gastrointestinal contents of both horses showed a high proportion of the characteristic Datura sp. seeds. The clinical signs and pathology in both cases were consistent with intoxication by the parasympatholytic alkaloid components of Datura sp.

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Massive gastric dilatation leading to acute respiratory distress 1 year after a Nissen fundoplication

BMJ Case Reports ◽

10.1136/bcr-2018-225927 ◽

2018 ◽

pp. bcr-2018-225927

Author(s):

Fareeda Sohrabi ◽

Francesco DiMaggio ◽

Ala Alasadi ◽

Dipankar Mukherjee

Keyword(s):

Hernia Repair ◽

Respiratory Distress ◽

Surgical Intervention ◽

Acute Abdominal Pain ◽

Nissen Fundoplication ◽

Incisional Hernia Repair ◽

Gastric Dilatation ◽

Day Case ◽

Successful Management ◽

Life Threatening

Acute massive gastric dilatation (AMGD) is a recognised complication after Nissen fundoplication.1 A 63-year-old man recently presented to our emergency department in acute respiratory distress, acute abdominal pain and distension, having had an elective umbilical port incisional hernia repair a day prior. In the year preceding his presentation, the patient had undergone a laparoscopic paraoesophageal hiatus hernia repair and excision of sac, posterior cruropexy, dual mesh reinforcement of repair and 360° fundoplication, as a day case. In between these two events, the patient was asymptomatic, and had a free diet with no further medical or surgical intervention. We hereby present successful management and discuss implications of this exceptional yet potentially life-threatening complication.

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Acute gastric dilatation in a patient with severe anorexia nervosa: a case report

Journal of Medical Case Reports ◽

10.1186/s13256-020-02575-7 ◽

2021 ◽

Vol 15 (1) ◽

Author(s):

Tyler Pitre ◽

Jasmine Mah ◽

Jaclyn Vertes ◽

Barna Tugwell

Keyword(s):

Anorexia Nervosa ◽

Case Report ◽

Correct Diagnosis ◽

Young Patients ◽

Gastric Dilatation ◽

Case Presentation ◽

Acute Gastric Dilatation ◽

Additional Imaging ◽

History Of ◽

Gastric Decompression

Abstract Background Acute gastric dilatation (AGD) leading to gastric necrosis and perforation has been reported to be a rare but fatal complication in young patients with eating disorders, particularly anorexia nervosa. Case presentation We report a case of a Canadian female patient presenting with mild abdominal pain, with a history of anorexia nervosa, the binge/purge subtype, who was found to have severe acute gastric dilatation on subsequent computed tomography imaging. Her clinical course was uncomplicated after gastric decompression. The cause of her AGD was thought to be secondary to dysmotility disorder caused by her anorexia nervosa. Conclusion Our case report demonstrates the importance of clinical identification of AGD and subsequent diagnosis and management. Because of the urgency to rule out obstruction or perforation through consultation or additional imaging modalities, recognition and correct diagnosis of this condition is necessary for appropriate patient management. In addition, our case report adds to an underreported but important complication of anorexia nervosa.

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Life-threatening acute gastric dilatation with aorta compression in a 3-year-old child

Pediatrics International ◽

10.1111/ped.12714 ◽

2015 ◽

Vol 57 (6) ◽

pp. 1184-1186 ◽

Cited By ~ 1

Author(s):

Ah Young Kim ◽

Se Yong Jung ◽

Lucy Youngmin Eun

Keyword(s):

Gastric Dilatation ◽

Acute Gastric Dilatation ◽

Life Threatening

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Acute Gastric Dilatation in Nonhuman Primates: Review and Case Studies

Veterinary Pathology ◽

10.1177/030098588201907s09 ◽

1982 ◽

Vol 19 (7_suppl) ◽

pp. 126-133 ◽

Cited By ~ 16

Author(s):

C. L. Pond ◽

C. E. Newcomer ◽

M. R. Anver

Keyword(s):

Food Restriction ◽

Nonhuman Primates ◽

Venous Return ◽

Clinical Signs ◽

Gastric Dilatation ◽

Gastric Function ◽

Gastric Distention ◽

Acute Gastric Dilatation ◽

Principal Factors ◽

Chronic Drug Administration

Acute gastric dilatation occurs sporadically in laboratory-housed nonhuman primates. Clinical histories often include chronic drug administration, food restriction, accidental overfeeding, and prior anesthesia. Monkeys may be found dead or may have clinical signs of colic, abdominal distention, and dyspnea. Death in untreated cases is due to impaired venous return and cardiopulmonary failure. Gastric distention with fermented gaseous ingesta and congestion of the abdominal viscera are the predominant lesions. The cause of acute gastric dilatation is unknown, but it probably is multifactorial. Two principal factors seem to be intragastric fermentation associated with Clostridium perfringens, and abnormal gastric function.

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Oesophageal mucosal tears caused by suboptimal nasogastric tube insertion: a case study

British Journal of Nursing ◽

10.12968/bjon.2020.29.22.1308 ◽

2020 ◽

Vol 29 (22) ◽

pp. 1308-1310

Author(s):

Fali Nie ◽

Xiaoling Han ◽

Xuanjie Huang ◽

Huiying Wang ◽

Yanyan Wang ◽

...

Keyword(s):

Digestive Tract ◽

Nasogastric Tube ◽

Solid Mass ◽

Tube Insertion ◽

Tube Obstruction ◽

Oesophageal Mucosa ◽

The Many ◽

Nasogastric Tube Insertion

Oesophageal bezoars are one of the many causes of nasogastric tube obstruction; however, they are extremely rare and, therefore, not often considered to be the cause of a blockage. A bezoar is a solid mass of indigestible material that accumulates in the digestive tract. After a blockage is identified, the nasogastric tube is usually removed and another one inserted. However, this can be dangerous and can easily cause tearing of the oesophageal mucosa, bleeding, and other serious complications. In this article, the authors present a case of nasogastric tube obstruction caused by oesophageal bezoars. After the nasogastric tube was replaced, the patient experienced two tears of the oesophageal mucosa. This article highlights the importance of the introduction of a procedure for nurses to follow in cases of nasogastric tube obstruction, bearing in mind the possibility of the presence of oesophageal bezoars. If necessary, a gastroscope should be used to ensure safe insertion of the nasogastric tube and prevent oesophageal mucosal tears.

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680 ACUTE GASTRIC DILATATION: A LIFE-THREATENING EARLY COMPLICATION FOLLOWING LAPAROSCOPIC HIATUS HERNIA REPAIR

Diseases of the Esophagus ◽

10.1093/dote/doab052.680 ◽

2021 ◽

Vol 34 (Supplement_1) ◽

Author(s):

Melissa Yun Wee ◽

David S Liu ◽

Sarah K Thompson

Keyword(s):

Hernia Repair ◽

Hiatus Hernia ◽

Closed Loop ◽

Gastric Fluid ◽

Gastric Dilatation ◽

Partial Fundoplication ◽

Early Presentation ◽

Acute Gastric Dilatation ◽

Life Threatening ◽

Nasogastric Decompression

Abstract Laparoscopic anti-reflux surgery prevents reflux of gastric fluid into the oesophagus but it may also inhibit belching. Gastric outflow impairment may lead to a closed-loop obstruction and life-threatening acute gastric dilatation. Methods We report a case of a 69-year-old female who underwent a laparoscopic giant hiatus hernia repair and anterior 180° fundoplication. Post operatively, she suffered from gastroparesis that resulted in a closed-loop obstruction. This was managed successfully with nasogastric tube insertion and commencement of prokinetic agents. A review of the literature of acute gastric dilatation and hiatus hernia repair was made. Results In the last 30 years, there have been 7 cases of acute gastric dilatation following hiatus hernia repair. Timing was 7 months to 14 years following a 360 degree fundoplication. In most cases, the ensuing gastric dilatation led to venous congestion, tissue necrosis and perforation, necessitating emergency gastrectomy for control of sepsis. All patients required a prolonged hospital stay and one mortality was reported. Our case is unique, characterized by its early presentation, and occurring after a partial 180° fundoplication. Our patient was successfully managed non-operatively with nasogastric decompression and supportive measures. Conclusion Surgeons should be aware that acute gastric dilatation is a life-threatening complication which may occur following laparoscopic partial fundoplication. Early diagnosis and prompt nasogastric decompression are required to avoid gastric necrosis and significant morbidity.

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

10.21203/rs.3.rs-52955/v1 ◽

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.

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