A Case of Gastric Necrosis

Abstract

A 91-year-old woman came to our hospital complaining of abdominal pain and distention. Abdominal US revealed marked gastric distention, and the laboratory data showed a high level of myoglobin (2, 303ng/ml) and severe metabolic acidosis (BE: -17.1mmol/l). A preoperstive diagnosis of intestinal necrosis was made, and emergency laparotomy was performed. Laparotomy revealed extensive necrosis of the stomach, and total gastrectomy was performed. The pathologiy examination showed transmural necrosis in the fundus and upper body of the stomach, and venous congestion was also observed. we conduded that the etiology in this case was venoustasis secondary to acute gastric dilatation.