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首页> 外文期刊>Journal of Surgical Case Reports >Gastric wall ischemia following massive gastric distension due to peptic pyloric stenosis: a case report
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Gastric wall ischemia following massive gastric distension due to peptic pyloric stenosis: a case report

机译：消化性幽门狭窄导致胃大面积扩张后的胃壁缺血：一例报告

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摘要

Gastric necrosis is a rare entity mainly due to the rich collateral blood flow the stomach is supplied by. Acute gastric dilation is one of the described underlying causes, and although not fully understood, many potential alterations, such as vascular compression, herniation, volvulus, acute necrotizing gastritis, complications after abdominal surgery, anorexia, bulimia nervosa, trauma, exposure to caustic materials, diabetes, medications, infections, debilitating chronic illness, gastric outlet obstruction, aerophagia and acute pancreatitis have been described. In this report, we present a case of partial gastric ischemia with necrosis and consequent perforation of the lesser curvature of the stomach, as a result of gastric outlet obstruction due to pyloric stenosis. The patient underwent an emergency laparotomy. An atypical gastrectomy and a Heineke–Mikulicz pyloroplasty were performed. We emphasize the need for the quick recognition of this condition and for the urgent management because of the high mortality rate associated with undiagnosed gastric necrosis.
机译：胃坏死是一种罕见的病因，主要是由于胃供血丰富。急性胃扩张是所描述的潜在原因之一，尽管尚未完全理解，但许多潜在的改变，例如血管压缩，疝气，肠扭转，急性坏死性胃炎，腹部手术后的并发症，厌食，神经性贪食，创伤，接触腐蚀性物质已经描述了糖尿病，药物，感染，使人衰弱的慢性疾病，胃出口梗阻，气吞和急性胰腺炎。在本报告中，我们报告了由于幽门狭窄引起的胃出口梗阻，伴有坏死的部分胃局部缺血和随后胃小弯穿孔的情况。该患者接受了紧急剖腹手术。进行了非典型胃切除术和Heineke-Mikulicz肾盂成形术。我们强调需要快速识别这种情况并进行紧急处理，因为与未诊断的胃坏死相关的高死亡率。

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