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Chronic Gastric Ischemia Leading to Gastric Perforation
Emma Lundsmith1, Matthew Zheng1, Peter McCue2
1Department of Medicine, Thomas Jefferson University Hospital, Philadelphia, PA.
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.
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