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Gastric Dilatation

Dilation of Stomach


Presentation

  • We hereby present successful management and discuss implications of this exceptional yet potentially life-threatening complication.[ncbi.nlm.nih.gov]
Feeding Difficulties
  • BACKGROUND Prader-Willi syndrome (PWS) is a genetic disorder characterized by initial muscular hypotonia and feeding difficulties, and later an insatiable appetite, hyperphagia and obesity along with mild to moderate intellectual impairment.[ncbi.nlm.nih.gov]
Respiratory Insufficiency
  • One should keep in mind the possibility of intrathoracic gastric dilatation as a cause of acute respiratory insufficiency in patients with hiatal hernia.[ncbi.nlm.nih.gov]
Severe Abdominal Pain
  • We describe a 24 year old female who presented with severe abdominal pain and vomiting, in whom radiographs demonstrated gross gastric dilatation and subsequent perforation.[ncbi.nlm.nih.gov]
Acute Abdomen
  • In conclusion, this case shows that chronic use of a SC may cause AGD and accompanying HPVG, which can be managed non-surgically despite the findings of acute abdomen.[ncbi.nlm.nih.gov]
  • AGD may result in acute abdomen. Prompt relief is necessary because the progression of symptoms due to AGD is rapid and the patient may deteriorate rapidly.[link.springer.com]
Colic
  • Monkeys may be found dead or may have clinical signs of colic, abdominal distention, and dyspnea. Death in untreated cases is due to impaired venous return and cardiopulmonary failure.[ncbi.nlm.nih.gov]
Hiccup
  • On the seventh postoperative day she had nausea and hiccupping. A chest x-ray demonstrated a massively dilated stomach which was decompressed with a nasogastric tube. The patient sustained a cardiac arrest and was resuscitated.[ncbi.nlm.nih.gov]
Absent Bowel Sounds
  • On the third postoperative day following bilateral inguinal hernia repair, he developed abdominal distension with absent bowel sounds. Abdominal radiograph showed a grossly distended gastric shadow and small bowel dilatation.[ncbi.nlm.nih.gov]
Retrosternal Chest Pain
  • A case report is presented of a 54-year old female patient with a history of acute-onset sharp retrosternal chest pain.[ncbi.nlm.nih.gov]
Aphasia
  • Thirty-four days after admission, the patient had a residual right hemiparesis and motor aphasia, and was discharged.[ncbi.nlm.nih.gov]
Hyperactivity
  • Bedside ultrasonography revealed a hyperactive duodenum, a distended stomach compressing on the inferior vena cava and a narrowed angle between the superior mesenteric artery (SMA) and the aorta.[ncbi.nlm.nih.gov]
Paresis

Workup

ST Elevation
  • BACKGROUND: ST elevation myocardial infarction is a medical emergency and the electrocardiogram is a part of the mainstay in the initial diagnosis.[ncbi.nlm.nih.gov]
Clostridium Perfringens
  • Two principal factors seem to be intragastric fermentation associated with Clostridium perfringens, and abnormal gastric function.[ncbi.nlm.nih.gov]
Staphylococcus Aureus
  • A 72-year-old man with diabetic triopathy was hospitalized with methicillin resistant staphylococcus aureus pneumonia. Six hours after the admission, his abdomen was fully expanded. An abdominal X-ray showed gastric dilatation.[ncbi.nlm.nih.gov]
T Wave Inversion
  • Clinical examination was unremarkable, but the 12-lead ECG showed anterior T-wave inversion and the chest x-ray film showed gaseous dilatation of the stomach.[ncbi.nlm.nih.gov]
Anterior T Wave Inversion
  • Clinical examination was unremarkable, but the 12-lead ECG showed anterior T-wave inversion and the chest x-ray film showed gaseous dilatation of the stomach.[ncbi.nlm.nih.gov]

Treatment

  • In most cases emergency surgical treatment is necessary, dictated by gastric necrosis or perforation. Conservative treatment may represent an option if it is early instituted.[ncbi.nlm.nih.gov]

Prognosis

  • In dogs with acute GDV, plasma gastrin immunoreactivity was not found to be helpful in formulating prognosis. Circumcostal gastropexy did not affect plasma gastrin immunoreactivity.[ncbi.nlm.nih.gov]
  • Prognosis .—In some of the acute cases, the prognosis is favorable; but in the chronic forms, the prognosis is unfavorable, and a careful and guarded statement should be made to the patient.[henriettes-herb.com]
  • Sepsis as described by Cisneros-Garcia et al. is a rarely reported cause and should be suspected once other causes has been ruled out. [6] AGD has a good prognosis upon treating the underlying cause. The usual treatment is orogastric drainage.[afrjpaedsurg.org]
  • As we see in this case, severe gastroparesis confers a poor prognosis due to aspiration of gastric contents and erratic glycaemic control [ 3 ].[omicsonline.org]

Etiology

  • We report an unusual case of acute gastric dilatation with subsequent necrosis of uncertain etiology.[ncbi.nlm.nih.gov]
  • Results: The 23 patients with GOO included 11 with peptic ulcer as the etiology, eight with corrosive-induced and four with chronic pancreatitis (alcohol three, idiopathic one).[medscape.com]
  • […] of oliguria and later if untreated progress to anuria. [3] History of gastrointestinal diseases Gastroduodenal Crohn’s disease, gastro duodenal tuberculosis, annular pancreas, gastrointestinal tumors, volvulus of hiatal hernia and bezoars are other etiological[explainmedicine.com]

Epidemiology

  • V, Bihari D, Innes R, Cohen J, Singer P, Japiassu A, Kurtop E, De Keulenaer BL, Daelemans R, Del Turco M, Cosimini P, Ranieri M, Jacquet L, Laterre PF, Gattinoni L: Prevalence of intra-abdominal hypertension in critically ill patients: a multicentre epidemiological[wjes.biomedcentral.com]
Sex distribution
Age distribution

Pathophysiology

  • The pathophysiology of this mechanism is discussed and suggestions are made about its prevention.[ncbi.nlm.nih.gov]

Prevention

  • The pathophysiology of this mechanism is discussed and suggestions are made about its prevention.[ncbi.nlm.nih.gov]
  • For definitive treatment, a gastropexy is performed in an attempt to prevent recurrence of the volvulus.[vetgirlontherun.com]

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