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Diffuse arterial atherosclerosis presenting with acute ischemic gastritis: A case report
Rui-Yao Wei1, Jia-Hui Zhu2, Xiang Li3
1Department of Traditional Chinese Medicine, The Fifth Affiliated Hospital of Wenzhou Medical University, Lishui 323000, Zhejiang Province, China.
World Journal of Clinical Cases
|December 22, 2023
Summary
Ischemic gastritis is a rare condition causing stomach tissue damage due to insufficient blood supply. Early diagnosis via endoscopy and pathology is crucial for effective treatment of this high-mortality disease.
Area of Science:
- Gastroenterology
- Vascular Medicine
Background:
- Ischemic gastritis is a rare, under-recognized condition with high mortality.
- Diagnosis often occurs late, after symptom onset, necessitating prompt recognition.
Observation:
- A case of ischemic gastritis in a 68-year-old woman with a history of intracranial aneurysm is presented.
- Computed tomography angiography revealed diffuse atherosclerosis affecting coronary and splanchnic arteries.
- Endoscopic findings included gastric mucosal congestion, swelling, erosion, and bleeding, particularly in the fundus and body.
Findings:
- Pathological examination confirmed gastric mucosal bleeding and necrosis, indicative of ischemic gastritis.
- The case highlights the link between systemic atherosclerosis and gastric ischemia.
- Endoscopic and pathological findings are key to diagnosing this condition.
Implications:
- This case underscores the importance of considering ischemic gastritis in patients with risk factors like atherosclerosis.
- Timely diagnosis through upper gastrointestinal endoscopy and biopsy is vital for improving patient outcomes.
- Increased clinical and histopathological awareness can aid in the early identification of ischemic gastritis.
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