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Gastric Emphysema in a Critically Ill Patient Successfully Treated without Surgery

Gastric emphysema is a relatively rare clinical entity caused by injury to the gastric mucosa. A 62-year-old Japanese male with a history of heavy alcohol consumption and smoking was admitted to the emergency intensive care unit due to severe hypercapnic respiratory acidosis. His body mass index was...

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Autores principales: Ihoriya, Hiromi, Yumoto, Tetsuya, Iwamuro, Masaya, Fujisaki, Noritomo, Osako, Takaaki, Naito, Hiromichi, Nakao, Atsunori
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442441/
https://www.ncbi.nlm.nih.gov/pubmed/31011454
http://dx.doi.org/10.1155/2019/1824101
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author Ihoriya, Hiromi
Yumoto, Tetsuya
Iwamuro, Masaya
Fujisaki, Noritomo
Osako, Takaaki
Naito, Hiromichi
Nakao, Atsunori
author_facet Ihoriya, Hiromi
Yumoto, Tetsuya
Iwamuro, Masaya
Fujisaki, Noritomo
Osako, Takaaki
Naito, Hiromichi
Nakao, Atsunori
author_sort Ihoriya, Hiromi
collection PubMed
description Gastric emphysema is a relatively rare clinical entity caused by injury to the gastric mucosa. A 62-year-old Japanese male with a history of heavy alcohol consumption and smoking was admitted to the emergency intensive care unit due to severe hypercapnic respiratory acidosis. His body mass index was only 12.6. Ten days after initiation of enteral feeding, he complained of abdominal pain. Computed tomography revealed intraluminal air in the distended gastric wall. Esophagogastroduodenoscopy showed diffuse edema, redness, and erosion throughout the stomach. Based on the findings of narrow angle and short distance of the aorta-superior mesenteric artery, the patient was diagnosed with gastric emphysema associated with superior mesenteric artery syndrome. He was successfully managed nonoperatively with treatments including intravenous antibiotics, gastric decompression, and bowel rest. Physicians should be aware of this unusual condition in such critically ill patients complaining of abdominal pain and needing close monitoring and observation to exclude gastric necrosis or perforation.
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spelling pubmed-64424412019-04-22 Gastric Emphysema in a Critically Ill Patient Successfully Treated without Surgery Ihoriya, Hiromi Yumoto, Tetsuya Iwamuro, Masaya Fujisaki, Noritomo Osako, Takaaki Naito, Hiromichi Nakao, Atsunori Case Rep Crit Care Case Report Gastric emphysema is a relatively rare clinical entity caused by injury to the gastric mucosa. A 62-year-old Japanese male with a history of heavy alcohol consumption and smoking was admitted to the emergency intensive care unit due to severe hypercapnic respiratory acidosis. His body mass index was only 12.6. Ten days after initiation of enteral feeding, he complained of abdominal pain. Computed tomography revealed intraluminal air in the distended gastric wall. Esophagogastroduodenoscopy showed diffuse edema, redness, and erosion throughout the stomach. Based on the findings of narrow angle and short distance of the aorta-superior mesenteric artery, the patient was diagnosed with gastric emphysema associated with superior mesenteric artery syndrome. He was successfully managed nonoperatively with treatments including intravenous antibiotics, gastric decompression, and bowel rest. Physicians should be aware of this unusual condition in such critically ill patients complaining of abdominal pain and needing close monitoring and observation to exclude gastric necrosis or perforation. Hindawi 2019-03-18 /pmc/articles/PMC6442441/ /pubmed/31011454 http://dx.doi.org/10.1155/2019/1824101 Text en Copyright © 2019 Hiromi Ihoriya et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Ihoriya, Hiromi
Yumoto, Tetsuya
Iwamuro, Masaya
Fujisaki, Noritomo
Osako, Takaaki
Naito, Hiromichi
Nakao, Atsunori
Gastric Emphysema in a Critically Ill Patient Successfully Treated without Surgery
title Gastric Emphysema in a Critically Ill Patient Successfully Treated without Surgery
title_full Gastric Emphysema in a Critically Ill Patient Successfully Treated without Surgery
title_fullStr Gastric Emphysema in a Critically Ill Patient Successfully Treated without Surgery
title_full_unstemmed Gastric Emphysema in a Critically Ill Patient Successfully Treated without Surgery
title_short Gastric Emphysema in a Critically Ill Patient Successfully Treated without Surgery
title_sort gastric emphysema in a critically ill patient successfully treated without surgery
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442441/
https://www.ncbi.nlm.nih.gov/pubmed/31011454
http://dx.doi.org/10.1155/2019/1824101
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