[Gastroparesis on a gastric ulcer].
BACKGROUND
Gastroparesis is the failure of the stomach to empty because of decreased gastric motility. It's a fairly frequent medical problem. Diabetes is the most common known cause.


METHODS
The first case report is that of an 82 year-old woman, in whom acute gastric distension occurred, evoking a gastric volvulus on the scan. Upper endoscopy revealed gastric ulcers. All symptoms disappeared with medical treatment. The second case report concerns a 37 year-old man who was admitted with signs of occlusion. CT scans revealed acute gastric distension. Emergency surgery revealed no gastric volvulus. Upper endoscopy revealed gastritis and numerous ulcers. The signs regressed with medical treatment.


CONCLUSIONS
Our observations are original in their -pseudo-surgical discovery. Acute gastric distension is rare, but must be recognised because of the risk of perforation and rupture of the stomach walls. These case reports are also original in their aetiology. Gastric ulcers are rarely described in this situation. CONCLUSION; Gastroparesis is a frequent situation but potentially severe. A review of the principle signs, aetiology and treatment is made.
Chanet
V
V
Service de médecine interne, boulevard Léon Malfreyt, Hôtel-Dieu, 63000 Clermont-Ferrand. vchanet@chu-clermontferrand.fr
Fournioux
J
J
Hermier
M
M
Gavet
E
E
Pons
B
B
Ruivard
M
M
Philippe
P
P
D000208:Acute Disease; D000368:Aged; D000369:Aged, 80 and over; D016099:Endoscopy, Gastrointestinal; D005260:Female; D018589:Gastroparesis / Q000209:etiology* / Q000473:pathology; D006801:Humans; D012307:Risk Factors; D013276:Stomach Ulcer / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy