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Published on: June 28, 2021
Emphysematous gastritis after acute pancreatitis
L L Bloodworth1, P E Stevens, R F Bury
1Department of Renal Medicine, Princess Mary's Royal Air Force Hospital, Halton, Aylesbury, Bucks.
Emphysematous gastritis, a rare complication, occurred with gastric infarction following acute pancreatitis and renal failure. Diagnosis was confirmed via imaging and endoscopy, with necropsy revealing extensive gastric and hepatic infarction.
Area of Science:
- Gastroenterology
- Critical Care Medicine
- Pathology
Background:
- Acute pancreatitis and acute renal failure are critical conditions that can lead to severe complications.
- Gastrointestinal complications, such as gastric infarction, are rare but life-threatening sequelae.
Observation:
- A case is presented of a patient who developed emphysematous gastritis.
- This severe complication was associated with extensive gastric infarction.
- The condition arose subsequent to acute pancreatitis and acute renal failure.
Findings:
- Diagnosis of emphysematous gastritis and gastric infarction was initially made using plain abdominal radiography.
- Endoscopic examination confirmed the diagnosis.
- Necropsy revealed extensive infarction affecting both the stomach and the liver.
Implications:
- This case highlights the potential for severe gastrointestinal complications, including emphysematous gastritis and infarction, in patients with acute pancreatitis and renal failure.
- Early recognition and diagnosis through imaging and endoscopy are crucial.
- The findings underscore the importance of considering extensive visceral infarction in critically ill patients with these comorbidities.
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