Exceptionally rare cause of a total stomach resection.
The first-ever case of a 54-year-old woman who overdosed on non-steroidal anti-inflammatory drugs in an attempt at suicide. Before that incident, she had not been treated for coexisting diseases such as rheumatoid arthritis or depression. At the time of admission to the General Surgery Department, the patient reported pains in the epigastric region with accompanying nausea and vomiting with mucous content as well as the inability to ingest food orally. Despite parenteral and enteral feeding, the patient exhibited a drop in body mass. The histopathologic examination of a sample taken from the stomach during gastroscopy showed some non-specific necrotic and inflammatory masses with granulation. Intraoperatively, a very small, infiltrated stomach with an initial section of duodenum was identified. A total stomach resection together with the reconstruction of digestive tract continuity was performed using the Roux-Y method. Histopathologic examination of the stomach revealed a deep, chronic and exacerbated inflammatory condition with an extensive ulceration over the entire length of the stomach, reaching up to the pylorus. Additionally, numerous lymphatic glands with inflammatory reaction changes were observed.
Department of General Surgery, Faculty of Medical Sciences, University of Warmia and Mazury in Olsztyn, 10561 Olsztyn, Poland. jadwiga.snarska@uwm.edu.pl
Jadwiga
J
Snarska
Krzysztof
K
Jacyna
Jacek
J
Janiszewski
Danuta
D
Shafie
Katarzyna
K
Iwanowicz
Anna
A
Żurada
D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000506:poisoning*; D005260:Female; D005743:Gastrectomy; D006801:Humans; D008875:Middle Aged; D009294:Narcotics / Q000506:poisoning; D013272:Stomach Diseases / Q000139:chemically induced* / Q000601:surgery*; D013406:Suicide, Attempted; D014147:Tramadol / Q000506:poisoning
D000894:Anti-Inflammatory Agents, Non-Steroidal; D009294:Narcotics; D014147:Tramadol