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Chronic Gastric Ischemia Leading to Gastric Perforation
Author(s) -
Emma Lundsmith,
Matthew Zheng,
Peter A. McCue,
Bolin Niu
Publication year - 2016
Publication title -
acg case reports journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.112
H-Index - 4
ISSN - 2326-3253
DOI - 10.14309/crj.2016.167
Subject(s) - medicine , esophagogastroduodenoscopy , ischemia , perforation , dysphagia , diabetes mellitus , abdominal pain , weight loss , gastroenterology , ischemic colitis , surgery , endoscopy , colitis , materials science , punching , metallurgy , obesity , endocrinology
A 69-year-old man with diabetes, peripheral vascular disease, and hypertension presented with 3 months of diffuse abdominal pain that worsened with meals, weight loss, and dysphagia. Esophagogastroduodenoscopy and computed tomography revealed findings consistent with chronic gastric ischemia secondary to atherosclerosis. Gastric ischemia eventually led to perforation. We discuss causes, symptoms, diagnosis, and management of gastric ischemia, an underdiagnosed and potentially fatal condition that requires urgent diagnosis and treatment.

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