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Surgery Today

, Volume 42, Issue 10, pp 997–1000 | Cite as

Gastric rupture with necrosis following acute gastric dilatation: report of a case

  • Takehiro MishimaEmail author
  • Norihiro Kohara
  • Yoshitsugu Tajima
  • Junpei Maeda
  • Keiji Inoue
  • Tsuyoshi Ohno
  • Amane Kitasato
  • Takehito Watanabe
  • Junji Irie
  • Tomohiko Adachi
  • Tamotsu Kuroki
  • Susumu Eguchi
  • Takashi Kanematsu
Case Report

Abstract

Gastric rupture with necrosis following acute gastric dilatation (AGD) is a rare and potentially fatal event; usually seen in patients with eating disorders such as anorexia nervosa or bulimia. A 12-year-old lean boy with no remarkable medical history was brought to our Emergency Department suffering acute abdominal symptoms. Emergency laparotomy revealed massive gastric dilatation and partial necrosis, with rupture of the anterior wall of the fundus of the stomach. We performed partial gastrectomy and the patient recovered uneventfully. We report this case to demonstrate that AGD and subsequent gastric rupture can occur in patients without any underlying disorders and that just a low body mass index is a risk factor for this potentially fatal condition.

Keywords

Acute gastric dilatation Gastric rupture Gastric necrosis Anorexia nervosa Bulimia 

Notes

Conflict of interest

Takehiro Mishima and his co-authors declare no conflict of interest.

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Copyright information

© Springer 2012

Authors and Affiliations

  • Takehiro Mishima
    • 1
    Email author
  • Norihiro Kohara
    • 1
  • Yoshitsugu Tajima
    • 1
  • Junpei Maeda
    • 1
  • Keiji Inoue
    • 1
  • Tsuyoshi Ohno
    • 1
  • Amane Kitasato
    • 1
  • Takehito Watanabe
    • 1
  • Junji Irie
    • 2
  • Tomohiko Adachi
    • 3
  • Tamotsu Kuroki
    • 3
  • Susumu Eguchi
    • 3
  • Takashi Kanematsu
    • 3
  1. 1.Department of SurgeryNagasaki Municipal HospitalNagasakiJapan
  2. 2.Department of PathologyNagasaki Municipal HospitalNagasakiJapan
  3. 3.Department of SurgeryNagasaki University Graduate School of Biomedical SciencesNagasakiJapan

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