Gastric ischaemia following a fall.
A previously well 73-year-old gentleman presented 5 days after a fall from 6 feet from a ladder with abdominal pain and vomiting. X-rays demonstrated evidence of bowel perforation. On arrival, the patient was peritonitic and displayed a severely septic picture. He was subsequently taken for emergency laparotomy. A 5 mm perforation was found in the small bowel which was repaired but unusually a large segment in the fundus and greater curvature of the stomach was found to be necrotic. A partial gastrectomy was performed and histology confirmed ischaemia likely to be secondary to trauma. The patient has now been successfully discharged home.
Department of General Surgery, Kent and Sussex Hospital, Tunbridge Wells, UK. mikedunne@doctors.org.uk
Michael John
MJ
Dunne
Irina
I
Ferreira
Ben
B
Thorpe
Ala
A
Ajeel
Haythem
H
Ali
Charles
C
Bailey
D000058:Accidental Falls; D000368:Aged; D006801:Humans; D007511:Ischemia / Q000209:etiology*; D008297:Male; D013270:Stomach / Q000098:blood supply*