Abstract
Gastric necrosis is a rare and often fatal condition. A few reports of gastric necrosis of various etiologies have been published in the literature. This report deals with a case in which gastric necrosis and perforation occurred several years after an infarction of the spleen. Preoperative computed tomography showed the existence of splenic vein thrombosis accompanying splenic infarction. A laparotomy revealed an 8-cm-long laceration with ragged margins in the posterior of the stomach along the greater curvature. Furthermore, massive venous thrombosis was found in the major omentum. As a result, the reduced arterial blood supply and insufficient venous drainage due to splenic venous thrombosis may have together played a major role in the development of gastric necrosis.
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Kanetaka, K., Azuma, T., Ito, S. et al. Gastric Necrosis After an Infarction of the Spleen: Report of a Case. Surg Today 33, 867–869 (2003). https://doi.org/10.1007/s00595-003-2598-z
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DOI: https://doi.org/10.1007/s00595-003-2598-z