Acute Gastric Necrosis Secondary to Mesenteric Ischemia: A Case Report and Literature Review.

Abstract

Acute gastric dilation and necrosis, although rare, are most commonly associated with eating disorders. We present a case of a patient with a history of prior fundoplication and complete intestinal obstruction, which led to severe gastric dilation and subsequent gastric necrosis. The condition was successfully managed through partial gastrectomy. Initial management involved gastric decompression with a nasogastric tube and fluid resuscitation. Surgical intervention remains the definitive treatment in most reported cases. Early diagnosis and timely intervention are critical to improving outcomes and minimizing morbidity and mortality.