title: Dobutamine stress echocardiography resulting in acute gastric dilatation and pneumoporta.
abstract: Acute gastric dilatation is a rare cause of gas within the hepatic portal vein, but one that is important to recognise as prompt decompression via a nasogastric tube is usually successful in resolving the situation. We report the rare case of a 68-year-old man with spontaneous acute gastric dilatation 50 minutes after a dobutamine stress echo that resulted in pneumoporta. The patient had a Nissen's fundoplication 18 months previously; patients with previous antireflux surgery or who have a degree of gastric outlet obstruction may be at increased risk of this unusual condition. Conservative management, with placement of a nasogastric tube was successful in resolving his symptoms.
authors.affiliation: Musgrove Park Hospital , Taunton , UK.
authors.forename: Jml
authors.initials: J
authors.lastname: Williamson
authors.affiliation: Musgrove Park Hospital , Taunton , UK.
authors.forename: D
authors.initials: D
authors.lastname: Mahon
mesh_terms: D058665:Adrenergic beta-1 Receptor Agonists / Q000009:adverse effects* / Q000627:therapeutic use; D000368:Aged; D004280:Dobutamine / Q000009:adverse effects* / Q000627:therapeutic use; D025401:Echocardiography, Stress / Q000009:adverse effects* / Q000379:methods; D004618:Embolism, Air / Q000209:etiology*; D018662:Fundoplication / Q000009:adverse effects; D013271:Gastric Dilatation / Q000209:etiology*; D006801:Humans; D008297:Male; D011169:Portal Vein
chemical_list: D058665:Adrenergic beta-1 Receptor Agonists; D004280:Dobutamine
keywords: Acute gastric distension; Antireflux surgery; Gastric volvulous; Nissen’s fundoplication; Pneumoporta; Portal vein gas