title: Unexpected Death Due to Acute Gastric Dilatation and Gastric Necrosis in an 11-Year-Old Boy.
abstract: This report is related to the unusual case of an 11-year-old boy presenting with acute gastric dilatation after the intake of excessive food and carbonated beverages after a 12-hour fasting who died of complications of acute reperfusion syndrome after decompression of the stomach with gastrotomy. An enormously distended stomach was encountered without volvulus and obstruction in the operation. Autopsy and histological findings revealed a severely distended stomach, the walls of which were notably thin and displayed transmural necrosis. The reported case demonstrated that enormous food and beverage intake may cause acute gastric dilatation and gastric necrosis, and subsequently, sudden death may develop in children. The subject reported here is the youngest child in literature dying from acute gastric dilatation and necrosis without any underlying disorders and exposed to autopsy.
authors.affiliation: From the *Department of Pediatric Surgery, Konya Education and Research Hospital; †Department of Pediatric Surgery, Faculty of Medicine, Baskent University; and ‡Department of Pediatric Surgery, Faculty of Medicine, Selcuk University, Konya, Turkey.
authors.forename: Canan
authors.initials: C
authors.lastname: Kocaoglu
authors.forename: Ishak
authors.initials: I
authors.lastname: Akillioglu
authors.forename: Metin
authors.initials: M
authors.lastname: Gunduz
authors.forename: Tamer
authors.initials: T
authors.lastname: Sekmenli
mesh_terms: D000208:Acute Disease; D001344:Autopsy; D002253:Carbonated Beverages / Q000009:adverse effects; D002648:Child; D003645:Death, Sudden / Q000209:etiology; D019299:Decompression, Surgical / Q000009:adverse effects* / Q000379:methods; D004108:Dilatation, Pathologic / Q000150:complications / Q000601:surgery; D017809:Fatal Outcome; D013271:Gastric Dilatation / Q000150:complications* / Q000601:surgery; D005774:Gastrostomy / Q000009:adverse effects*; D006801:Humans; D008297:Male; D009336:Necrosis / Q000209:etiology / Q000601:surgery; D013270:Stomach / Q000473:pathology* / Q000601:surgery