Acute Gastric Dilatation: A Retrospective Case Series from a Single Institution.

IF 0.5 Q4 GASTROENTEROLOGY & HEPATOLOGY Case Reports in Gastroenterology Pub Date : 2024-10-15 eCollection Date: 2024-01-01 DOI:10.1159/000541516

Lefika Bathobakae, Rammy Bashir, Sophia Venero, Tyler Wilkinson, Ruhin Yuridullah, Yana Cavanagh, Walid Baddoura

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Abstract

Introduction: Acute gastric dilatation (AGD) is a massive distension of the stomach caused by the accumulation of gas, gastric secretions, or food material. AGD is a radiological diagnosis with no clear etiopathogenesis and is often misdiagnosed owing to a lack of clear diagnostic criteria and physician awareness.

Case presentation: In this case series, we describe the clinical presentations and outcomes of 4 patients with AGD. Three (75%) of the patients were female, and one (25%) was male. The patients' ages ranged from 53 to 84 years, with an average age of 73.5 years. Abdominal pain, nausea, and vomiting were the most frequently reported complaints. Two (50%) patients had cancer, one (25%) had an acquired duodenal stenosis, and the fourth patient experienced an ileus.

Conclusion: AGD is a surgical emergency with a 50-100% mortality rate; thus, prompt diagnosis and management are crucial. Herein, we describe a case series of AGDs that were diagnosed and managed at our institution. We aim to raise awareness about this fatal yet underrecognized clinical entity.

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急性胃扩张：来自一家医疗机构的回顾性病例系列。

简介急性胃扩张（AGD）是由气体、胃分泌物或食物堆积引起的胃部大量膨胀。AGD 是一种放射学诊断，没有明确的发病机制，由于缺乏明确的诊断标准和医生的认识，AGD 经常被误诊：在本病例系列中，我们描述了 4 位 AGD 患者的临床表现和治疗结果。其中三名（75%）患者为女性，一名（25%）患者为男性。患者年龄从 53 岁到 84 岁不等，平均年龄为 73.5 岁。腹痛、恶心和呕吐是最常见的主诉。两名患者（50%）患有癌症，一名患者（25%）患有后天性十二指肠狭窄，第四名患者出现回肠梗阻：AGD是一种外科急症，死亡率高达50%-100%；因此，及时诊断和治疗至关重要。在此，我们描述了本院诊断和处理的一系列 AGD 病例。我们旨在提高人们对这一致命但未得到充分认识的临床实体的认识。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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