Abstract

MERINO PASCO, Alfonso; CHIAN GARCIA, César Augusto; LOPEZ CORDOVA, Gabriela  and  TORO OSORIO, Estefany. Acute gastric distension caused by superior mesenteric artery syndrome in a bulimic patient. An. Fac. med. [online]. 2021, vol.82, n.1, pp.71-74. ISSN 1025-5583.  http://dx.doi.org/10.15381/anales.v82i1.19958.

Acute gastric dilation is based on two theories, the mechanical one that is explained by the superior mesenteric artery syndrome and the atonic one, the latter is the product of a medical condition in which the stomach progressively becomes hypotonic and over-distended even in the absence of an obstructive mechanical cause; it most often occurs in patients with eating disorders; which can lead to a rare but fatal complication such as gastric perforation. We present the case of an 18 year old patient who comes to the emergency service of our hospital with acute abdominal pain, undergoes surgery, where there is perforation of the anterior gastric wall, and a proximal. Partial gastrectomy is performed, and a sends the specimen for pathology study. Histopathology shows transmural necrosis predominantly in the gastric fundus.

Keywords : Superior Mesenteric Artery Syndrome; Gastric Dilatation; Bulimia; Anorexia; Stomach Rupture.

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