title: Lesser-curve ischaemic necrosis mimicking a gastric ulcer--a complication of highly selective vagotomy. A case report.
abstract: Ischaemic necrosis of the lesser curve of the stomach is thought to be a specific but rare complication of highly selective vagotomy. While it commonly presents as a free perforation, it may also present as sloughing of the mucosa only, a gastric fistula or a sealed perforation of the lesser curve mimicking a chronic gastric ulcer. We describe a case in which ischaemic necrosis of the lesser curve presented as a chronic gastric ulcer from a sealed perforation.
authors.affiliation: Department of Surgery, Baragwanath Hospital, Johannesburg.
authors.forename: D
authors.initials: D
authors.lastname: Parekh
authors.forename: M
authors.initials: M
authors.lastname: Lakhoo
authors.forename: M J
authors.initials: MJ
authors.lastname: Verhaart
authors.forename: C
authors.initials: C
authors.lastname: Hatzitheofilou
authors.forename: M
authors.initials: M
authors.lastname: Stewart
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D006801:Humans; D007511:Ischemia / Q000175:diagnosis*; D008297:Male; D009336:Necrosis / Q000175:diagnosis*; D013270:Stomach / Q000098:blood supply*; D013276:Stomach Ulcer / Q000175:diagnosis*; D014629:Vagotomy, Proximal Gastric / Q000009:adverse effects*