Acute gastric distension caused by superior mesenteric artery syndrome in a bulimic patient

• Autores: Merino Pasco, Alfonso, Chian García, César Augusto, López Córdova, Gabriela, Toro Osorio, Estefany
• Formato: artículo
• Fecha de Publicación: 2021
• Institución: Universidad Nacional Mayor de San Marcos
• Repositorio: Revistas - Universidad Nacional Mayor de San Marcos
• Lenguaje: español
• OAI Identifier: oai:ojs.csi.unmsm:article/19958
• Enlace del recurso: https://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/19958
• Nivel de acceso: acceso abierto
• Materia: Superior Mesenteric Artery Syndrome; Gastric Dilatation; Bulimia; Anorexia; Stomach Rupture; Síndrome de la Arteria Mesentérica Superior; Dilatación Gástrica; Rotura Gástrica

Acute gastric dilation is based on two theories, the mechanical one that is explained by the superior mesenteric artery syndrome and the atonic one; The latter is the product of a medical condition in which the stomach progressively becomes hypotonic and over-distended even in the absence of an obstructive mechanical cause; it most often occurs in patients with eating disorders; which can lead to a rare but fatal complication such as gastric perforation; We present the case of an 18-year-old patient who comes to the emergency service of our hospital with acute abdominal pain, undergoes surgery, where there is perforation of the anterior gastric wall, and a proximal partial gastrectomy is performed, and a sends the specimen for pathology study. Histopathology shows transmural necrosis predominantly in the gastric fundus.