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KMID : 0931320120120020120
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대한상부위장관.헬리코박터학회지
2012 Volume.12 No. 2 p.120 ~ p.123
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A Case of Gastric Emphysema Associated with Superior Mesenteric Artery Syndrome
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Kim Mi-Yeon
Yu Jung-Re
Kim Heung-Up
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Abstract
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We introduce a rare case of gastric emphysema. A 68-year-old man presented with vomiting and dyspnea. Simple abdominal X-ray and CT showed marked dilatation of the stomach and abnormal intramural gas consistent with gastric emphysema. We performed gastric decompression via nasogastric tube drainage and parenteral nutritional support. Nine days after admission, the abnormal intramural gas had disappeared on follow-up CT. The acute gastric dilatation in this patient may have resulted from gastric hypomotility as a result of diabetic gastroparesis in addition to superior mesenteric artery syndrome resulting from malnutrition.
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KEYWORD
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Superior mesenteric artery syndrome, Emphysema, Gastroparesis, Gastric dilatation, Gastric outlet obstruction
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