Gastric Pneumatosis from Isolated Gastric Calciphylaxis

A 58-year-old man with end-stage renal disease presented with hypotension and emesis, pale conjunctivae, and a distended abdomen. Labs revealed hypercalcemia and leukocytosis. Abdominal imaging showed gastric pneumatosis. Endoscopy demonstrated significant hemorrhage and necrosis in the gastric card...

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Autores principales: Mulgund, Aditi, Razeghi, Sanam, Poreddy, Sampath
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American College of Gastroenterology 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5519402/
https://www.ncbi.nlm.nih.gov/pubmed/28761894
http://dx.doi.org/10.14309/crj.2017.91
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author Mulgund, Aditi
Razeghi, Sanam
Poreddy, Sampath
author_facet Mulgund, Aditi
Razeghi, Sanam
Poreddy, Sampath
author_sort Mulgund, Aditi
collection PubMed
description A 58-year-old man with end-stage renal disease presented with hypotension and emesis, pale conjunctivae, and a distended abdomen. Labs revealed hypercalcemia and leukocytosis. Abdominal imaging showed gastric pneumatosis. Endoscopy demonstrated significant hemorrhage and necrosis in the gastric cardia and fundus. Biopsies revealed acute ulcerative gastritis and focal intravascular calcium phosphate crystals. The patient remained nil per os and was placed on omeprazole and sucralfate. Repeat endoscopy demonstrated mucosal healing. Gastric calciphylaxis in the setting of gastric pneumatosis is an uncommon finding, especially in patients without cutaneous findings.
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spelling pubmed-55194022017-07-31 Gastric Pneumatosis from Isolated Gastric Calciphylaxis Mulgund, Aditi Razeghi, Sanam Poreddy, Sampath ACG Case Rep J Case Report A 58-year-old man with end-stage renal disease presented with hypotension and emesis, pale conjunctivae, and a distended abdomen. Labs revealed hypercalcemia and leukocytosis. Abdominal imaging showed gastric pneumatosis. Endoscopy demonstrated significant hemorrhage and necrosis in the gastric cardia and fundus. Biopsies revealed acute ulcerative gastritis and focal intravascular calcium phosphate crystals. The patient remained nil per os and was placed on omeprazole and sucralfate. Repeat endoscopy demonstrated mucosal healing. Gastric calciphylaxis in the setting of gastric pneumatosis is an uncommon finding, especially in patients without cutaneous findings. American College of Gastroenterology 2017-07-19 /pmc/articles/PMC5519402/ /pubmed/28761894 http://dx.doi.org/10.14309/crj.2017.91 Text en Copyright © Mulgund et al. This is an open-access article. This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-nd/4.0/
spellingShingle Case Report
Mulgund, Aditi
Razeghi, Sanam
Poreddy, Sampath
Gastric Pneumatosis from Isolated Gastric Calciphylaxis
title Gastric Pneumatosis from Isolated Gastric Calciphylaxis
title_full Gastric Pneumatosis from Isolated Gastric Calciphylaxis
title_fullStr Gastric Pneumatosis from Isolated Gastric Calciphylaxis
title_full_unstemmed Gastric Pneumatosis from Isolated Gastric Calciphylaxis
title_short Gastric Pneumatosis from Isolated Gastric Calciphylaxis
title_sort gastric pneumatosis from isolated gastric calciphylaxis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5519402/
https://www.ncbi.nlm.nih.gov/pubmed/28761894
http://dx.doi.org/10.14309/crj.2017.91
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AT razeghisanam gastricpneumatosisfromisolatedgastriccalciphylaxis
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