title: Chronic Gastric Ischemia Leading to Gastric Perforation.
abstract: A 69-year-old man with diabetes, peripheral vascular disease, and hypertension presented with 3 months of diffuse abdominal pain that worsened with meals, weight loss, and dysphagia. Esophagogastroduodenoscopy and computed tomography revealed findings consistent with chronic gastric ischemia secondary to atherosclerosis. Gastric ischemia eventually led to perforation. We discuss causes, symptoms, diagnosis, and management of gastric ischemia, an underdiagnosed and potentially fatal condition that requires urgent diagnosis and treatment.
authors.affiliation: Department of Medicine, Thomas Jefferson University Hospital, Philadelphia, PA.
authors.forename: Emma
authors.initials: E
authors.lastname: Lundsmith
authors.affiliation: Department of Medicine, Thomas Jefferson University Hospital, Philadelphia, PA.
authors.forename: Matthew
authors.initials: M
authors.lastname: Zheng
authors.affiliation: Department of Pathology, Thomas Jefferson University Hospital, Philadelphia, PA.
authors.forename: Peter
authors.initials: P
authors.lastname: McCue
authors.affiliation: Department of Medicine, Division of Gastroenterology and Hepatology, Thomas Jefferson University Hospital, Philadelphia, PA.
authors.forename: Bolin
authors.initials: B
authors.lastname: Niu