Presentation
We hereby present successful management and discuss implications of this exceptional yet potentially life-threatening complication. [ncbi.nlm.nih.gov]
Respiratoric
- Respiratory Distress
The authors hereby present a rare case of acute gastric dilatation that developed in a two-days old child who was born premature and was suffering from septicaemia and respiratory distress. [ncbi.nlm.nih.gov]
Gastric dilatation as a cause of acute respiratory distress. Can Fam Physician 2010; 56: 151–2. PubMedCentral PubMed Google Scholar 6. Cox A, Marks DJ. Acute gastric dilatation causing respiratory distress. JRSM Short Rep 2011; 2: 41. [link.springer.com]
- 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]
Cardiovascular
- 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]
Musculoskeletal
- Lordosis
Some of the factors that have been reported to precipitate SMA syndrome are as follows: external compression of the abdomen induced by wearing tight belts, body spica, or body cast; anatomic anomalies such as lumbar lordosis [ 7 ] and high insertion of [bmcgastroenterol.biomedcentral.com]
Neurologic
- Neglect
Acute gastric dilatation occurred in five children suffering from parental neglect of deprivational dwarfism. [ncbi.nlm.nih.gov]
Acute gastric dilatation in neglected children. AJR Am J Roentgenol 1978;130:297-9. DOI: 10.2214/ajr.130.2.297. [ Links ] 5. Hadley SJ, Walsh BT. Gastrointestinal disturbances in anorexia nervosa and bulimia nervosa. [scielo.isciii.es]
Acute gastric dilatation in neglected children. AJR Am J Roentgenol 1978;130:297-9. 8. Nagai T, Yokoo M, Tomizawa T, Mori M. Acute gastric dilatation accompanied by diabetes mellitus. Intern Med 2001;40:320-3. 9. Sehgal VN, Srivastava G. [dx.doi.org]
Workup
QT, RR, ST Intervals
- ST Elevation
Subsequent ECG showed > 2 mm ST elevations with T inversions in chest leads V1 to V3, J point elevation in leads L 11, L 111, aVF and T inversion in leads L 1 and aVL. [ncbi.nlm.nih.gov]
Microbiology
- 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
- 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
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]
Pathophysiology
The treatment course is reviewed, as is the pathophysiology of acute gastric dilation. [ncbi.nlm.nih.gov]
[…] gastric capacity, and decreased gastric emptying. [2], [11] Even years after the cessation of anorexia nervosa, patients may still have gastric dysmotility, predisposing any patient with a history of an eating disorder to acute gastric dilatation. [2] The pathophysiology [dx.doi.org]
Prevention
The pathophysiology of this mechanism is discussed and suggestions are made about its prevention. [ncbi.nlm.nih.gov]
After surgery or some procedures, proton pump inhibitors (PPIs) may help prevent gastric acid secretion, and this can prevent reflux. [medicalnewstoday.com]
For definitive treatment, a gastropexy is performed in an attempt to prevent recurrence of the volvulus. [vetgirlontherun.com]