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Related Experiment Videos

Acute necrotizing gastritis.

Satish B Dharap1, Geeta Ghag, Arundhati Biswas

  • 1Department of Surgery, L T M Medical College and L T M G Hospital, Sion, Mumbai 400 022.

Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology
|September 10, 2003
PubMed
Summary
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The Risk Factors for Complications Following Intestinal Stoma Reversal.

Cureus·2025

A young man experienced peritonitis due to stomach gangrene. He underwent a total gastrectomy and esophago-jejunal anastomosis, with recovery after a complicated surgery.

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Infectious Diseases

Background:

  • Peritonitis is a critical condition requiring prompt surgical intervention.
  • Gastric gangrene is a rare but life-threatening emergency.
  • Identifying the causative agent is crucial for effective treatment.

Observation:

  • A 17-year-old male presented with acute peritonitis.
  • Laparotomy revealed gastric gangrene of unknown etiology.
  • Peritoneal fluid cultures identified Streptococcus pyogenes and Escherichia coli.

Findings:

  • The patient underwent a total gastrectomy with esophago-jejunal anastomosis and jejunal pouch formation.
  • The postoperative course was complicated, indicating significant surgical stress and infection risk.

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  • Successful management involved aggressive surgical and potentially antimicrobial strategies.

    • Implications:

    • This case highlights the importance of considering rare causes of peritonitis in young patients.
    • Prompt surgical intervention (total gastrectomy) can be life-saving in gastric gangrene.
    • Polymicrobial infections, including Strept. pyogenes and E. coli, can contribute to severe intra-abdominal sepsis.