title: Acute gastric necrosis due to gastric outlet obstruction accompanied with gastric cancer and trichophytobezoar.
abstract: Gastric necrosis due to gastric outlet obstruction is a very rare condition, but it might be fatal if missed or if diagnosis is delayed. Our patient was a 73-year-old male complaining of abdominal pain, distension and dyspnea for 1 day. In plain radiography and computed tomography, a markedly distended stomach and decreased enhancement at the gastric wall were noted. He underwent explo-laparotomy, and near-total gastric mucosal necrosis accompanied by sludge from the soaked laver was noted. A total gastrectomy with esophagojejunostomy was performed, and he recovered without sequelae. Final pathologic examination revealed advanced gastric cancer at the antrum with near-total gastric mucosal necrosis.
authors.affiliation: Department of Surgery, Bucheon St. Mary's Family Hospital, The Catholic University of Korea School of Medicine, Bucheon, Korea.
authors.forename: Dosang
authors.initials: D
authors.lastname: Lee
authors.forename: Kiyoung
authors.initials: K
authors.lastname: Sung
authors.forename: Jun Hyun
authors.initials: JH
authors.lastname: Lee
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