A Case Report of Gastric Dilatation / 대한법의학회지
Korean Journal of Legal Medicine
; : 107-110, 1999.
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-136776
Responsible library:
WPRO
ABSTRACT
Gastric dilatation is a rare life-threatening condition and consists of massive distention of the stomach by gas and fluid. Its etiology is unclear but predisposing factors include recent surgery, diabetic gastroparesis, fundoplication and gastric outlet obstruction. As the distended stomach grows larger, it hangs down across the duodenum, producing a mechanical gastric outlet obstruction, venous obstruction of the mucosa, ischemic necrosis and perforation. The distended stomach pushes the diaphragm upward, causing collapse of the left lung, rotation of the heart, and obstruction of the inferior vena cava. Hypochloremia, hypokalemia, and alkalosis may result from fluid and electrolyte losses and may precipitate cardiac arrhythmias. If acute gastric dilatation is not treated promptly, cardiovascular and pulmonary compromise may compound an increasing intravascular volume deficit leading to hypotension, which may be a cause of death.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Arrhythmias, Cardiac
/
Stomach
/
Gastric Dilatation
/
Vena Cava, Inferior
/
Diaphragm
/
Causality
/
Cause of Death
/
Gastric Outlet Obstruction
/
Gastroparesis
/
Fundoplication
Language:
Korean
Journal:
Korean Journal of Legal Medicine
Year:
1999
Document type:
Article