RESUMO
Ischemic gastropathy is highly infrequent in daily medical practice. In the last few years, the number of reported cases has increased. Although the guiding symptom is usually abdominal pain, the clinical spectrum of the disease is highly variable. Early diagnosis and treatment are essential to change the natural history of the disease. We present the case of a 75-year-old man with chronic abdominal pain who developed a fulminant form of necrotizing gastric ischemia and died within less than 24h.
Assuntos
Calcinose/complicações , Isquemia/diagnóstico , Placa Aterosclerótica/complicações , Circulação Esplâncnica , Estômago/irrigação sanguínea , Dor Abdominal/etiologia , Idoso , Comorbidade , Diagnóstico Tardio , Diabetes Mellitus Tipo 2/complicações , Progressão da Doença , Evolução Fatal , Hemorragia Gastrointestinal/etiologia , Gastroparesia/etiologia , Hérnia Hiatal/complicações , Humanos , Masculino , Insuficiência de Múltiplos Órgãos/etiologia , Necrose , Polimedicação , Úlcera Gástrica/complicaçõesRESUMO
La gastropatía isquémica es un cuadro que se presenta de forma muy poco frecuente en la práctica médica diaria habiéndose observado en los últimos años un aumento de los casos reportados. Aunque el síntoma guía suele ser el dolor abdominal, el espectro clínico de la enfermedad es muy variable, siendo el diagnóstico y tratamiento precoz fundamentales para cambiar la historia natural de la enfermedad. Presentamos el caso de un varón de 75 años con dolor abdominal crónico que desarrolló una forma fulminante de isquemia gástrica necrotizante falleciendo en menos de veinticuatro horas (AU)
Ischemic gastropathy is highly infrequent in daily medical practice. In the last few years, the number of reported cases has increased. Although the guiding symptom is usually abdominal pain, the clinical spectrum of the disease is highly variable. Early diagnosis and treatment are essential to change the natural history of the disease. We present the case of a 75-year-old man with chronic abdominal pain who developed a fulminant form of necrotizing gastric ischemia and died within less than 24h (AU)
