Gastric necrosis after an infarction of the spleen: report of a case.
Gastric necrosis is a rare and often fatal condition. A few reports of gastric necrosis of various etiologies have been published in the literature. This report deals with a case in which gastric necrosis and perforation occurred several years after an infarction of the spleen. Preoperative computed tomography showed the existence of splenic vein thrombosis accompanying splenic infarction. A laparotomy revealed an 8-cm-long laceration with ragged margins in the posterior of the stomach along the greater curvature. Furthermore, massive venous thrombosis was found in the major omentum. As a result, the reduced arterial blood supply and insufficient venous drainage due to splenic venous thrombosis may have together played a major role in the development of gastric necrosis.
Kanetaka
Kengo
K
Department of Surgery, Nagasaki Prefectural Shimabara Hospital, 7895 Shimokawajiri, Shimabara, 855-0861 Nagasaki, Japan.
Azuma
Takashi
T
Ito
Shinichiro
S
Yamaguchi
Satoshi
S
Matsuo
Shigetoshi
S
Kanematsu
Takashi
T
D001707:Biopsy, Needle; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007150:Immunohistochemistry; D007813:Laparotomy / Q000379:methods; D008875:Middle Aged; D009336:Necrosis; D011183:Postoperative Complications; D018570:Risk Assessment; D013159:Splenic Infarction / Q000150:complications* / Q000473:pathology; D013272:Stomach Diseases / Q000209:etiology* / Q000473:pathology* / Q000601:surgery; D014057:Tomography, X-Ray Computed