KMID : 0914820110110030185
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Journal of the Korean Gastric Cancer Association 2011 Volume.11 No. 3 p.185 ~ p.188
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Acute Gastric Necrosis Due to Gastric Outlet Obstruction Accompanied with Gastric Cancer and Trichophytobezoar
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Lee Do-Sang
Sung Ki-Young Lee Jun-Hyun
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Abstract
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Gastric necrosis due to gastric outlet obstruction is a very rare condition, but it might be fatal if missed or if diagnosis is delayed. Our patient was a 73-year-old male complaining of abdominal pain, distension and dyspnea for 1 day. In plain radiography and computed tomography, a markedly distended stomach and decreased enhancement at the gastric wall were noted. He underwent explo-laparotomy, and near-total gastric mucosal necrosis accompanied by sludge from the soaked laver was noted. A total gastrectomy with esophagojejunostomy was performed, and he recovered without sequelae. Final pathologic examination revealed advanced gastric cancer at the antrum with near-total gastric mucosal necrosis.
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KEYWORD
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Gastric necrosis, Gastric outlet obstruction, Soaked laver, Total gastrectomy, Stomach neoplasms
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