title: Gastric rupture with necrosis following acute gastric dilatation: report of a case.
abstract: Gastric rupture with necrosis following acute gastric dilatation (AGD) is a rare and potentially fatal event; usually seen in patients with eating disorders such as anorexia nervosa or bulimia. A 12-year-old lean boy with no remarkable medical history was brought to our Emergency Department suffering acute abdominal symptoms. Emergency laparotomy revealed massive gastric dilatation and partial necrosis, with rupture of the anterior wall of the fundus of the stomach. We performed partial gastrectomy and the patient recovered uneventfully. We report this case to demonstrate that AGD and subsequent gastric rupture can occur in patients without any underlying disorders and that just a low body mass index is a risk factor for this potentially fatal condition.
authors.affiliation: Department of Surgery, Nagasaki Municipal Hospital, 6-39 Shinchi, Nagasaki 850-8555, Japan. tamishima-gi@umin.ac.jp
authors.forename: Takehiro
authors.initials: T
authors.lastname: Mishima
authors.forename: Norihiro
authors.initials: N
authors.lastname: Kohara
authors.forename: Yoshitsugu
authors.initials: Y
authors.lastname: Tajima
authors.forename: Junpei
authors.initials: J
authors.lastname: Maeda
authors.forename: Keiji
authors.initials: K
authors.lastname: Inoue
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Ohno
authors.forename: Amane
authors.initials: A
authors.lastname: Kitasato
authors.forename: Takehito
authors.initials: T
authors.lastname: Watanabe
authors.forename: Junji
authors.initials: J
authors.lastname: Irie
authors.forename: Tomohiko
authors.initials: T
authors.lastname: Adachi
authors.forename: Tamotsu
authors.initials: T
authors.lastname: Kuroki
authors.forename: Susumu
authors.initials: S
authors.lastname: Eguchi
authors.forename: Takashi
authors.initials: T
authors.lastname: Kanematsu
mesh_terms: D000208:Acute Disease; D002648:Child; D013271:Gastric Dilatation / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D008297:Male; D009336:Necrosis / Q000175:diagnosis / Q000209:etiology; D012422:Rupture, Spontaneous / Q000175:diagnosis / Q000209:etiology; D013270:Stomach / Q000473:pathology*; D013275:Stomach Rupture / Q000175:diagnosis / Q000209:etiology*