[Fulminant ischemic gastropathy: the final stage of a difficult-to-diagnose disease].
Ischemic gastropathy is highly infrequent in daily medical practice. In the last few years, the number of reported cases has increased. Although the guiding symptom is usually abdominal pain, the clinical spectrum of the disease is highly variable. Early diagnosis and treatment are essential to change the natural history of the disease. We present the case of a 75-year-old man with chronic abdominal pain who developed a fulminant form of necrotizing gastric ischemia and died within less than 24h.
Unidad de Gestión Clínica de Aparato Digestivo, Hospital Universitario Reina Sofía, Córdoba, España. ropeml@hotmail.com
Manuel Luís
ML
Rodríguez-Perálvarez
Juan
J
Jurado-García
José M
JM
Benítez-Cantero
Marisa
M
Vignote-Alguacil
Angel
A
González-Galilea
María
M
Pleguezuelo-Navarro
Alberto
A
González-Menchen
Alejandro
A
Gómez-Morá
Juan Francisco
JF
De Dios Vega
D015746:Abdominal Pain / Q000209:etiology; D000368:Aged; D002114:Calcinosis / Q000150:complications*; D015897:Comorbidity; D057210:Delayed Diagnosis; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D018450:Disease Progression; D017809:Fatal Outcome; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D018589:Gastroparesis / Q000209:etiology; D006551:Hernia, Hiatal / Q000150:complications; D006801:Humans; D007511:Ischemia / Q000175:diagnosis*; D008297:Male; D009102:Multiple Organ Failure / Q000209:etiology; D009336:Necrosis; D058226:Plaque, Atherosclerotic / Q000150:complications*; D019338:Polypharmacy; D013152:Splanchnic Circulation; D013270:Stomach / Q000098:blood supply*; D013276:Stomach Ulcer / Q000150:complications