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CASE REPORT
Year : 2017  |  Volume : 20  |  Issue : 5  |  Page : 645-646

Total gastric necrosis: A case report and literature review


1 Department of General Surgery, Wuyi First people's Hospital, Wuyi, China
2 Department of General Surgery, The Second Affiliated hospital, College of Medine, Zhejiang University, Hangzhou, China

Correspondence Address:
Y Jin
Department of General Surgery, The Second Affiliated Hospital, College of Medine, Zhejiang University, Hangzhou
China
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1119-3077.206364

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Total gastric necrosis is a rare disease and easy to misdiagnose. Here we report a rare case of total gastric necrosis. The patient, an 89-year-old male, had epigastric pain for 5 days. He was transferred to our hospital because of intraperitoneal hemorrhage and hypovolemic shock. We performed an emergency laparotomy. During the surgery, we found a total of 3500ml unclotted blood in the abdomen, splenic infarction and gastric necrosis. Total gastrectomy with Roux-en-Y esophagojejunostromy and splenectomy was performed. However, the patient died on the second day after the surgery. This case suggests that surgical treatment should be performed as early as possible when ischemia of abdominal organs is suspected.


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