Abstract
Here we report a patient who suffered from acute gastric dilatation after overeating and developed gastric necrosis.
A 25-year-old man visited his family doctor complaining of abdominal pain and vomiting. Since a markedly dilated stomach was found to occupy the entire abdomen on a plain X-ray film, a gastric tube was inserted and about 3500ml of gastric contents were aspirated. His symptoms then improved and he was treated conservatively. However, blood was discharged through the gastric tube and he was transferred to the hospital. Emergency endoscopy revealed a large amount of clotted blood in the stomach and two massive ulcers were present in the regions of the fornix and gastric angle. Blood was oozing from the whole stomach. Because blood loss of 80 to 100ml/hour from the gastric tube continued, we performed a total gastrectomy with Roux-en-Y reconstruction. No postoperative complications occurred and he was discharged from the hospital.
