Acute Gastric Ischemia in a Case of Small Bowel Obstruction

TL;DR

A case report highlights gastric ischemia in a patient with small bowel obstruction, emphasizing the need for early recognition and surgical intervention.

Contribution

This case report adds to the clinical understanding of gastric ischemia occurring alongside small bowel obstruction.

Findings

A 43-year-old female presented with small bowel obstruction and a severely dilated stomach.

The case underscores the importance of considering gastric ischemia in such clinical scenarios.

Surgical intervention was performed, highlighting potential treatment approaches.

Abstract

Gastric ischemia is a relatively rare condition that can lead to severe or life-threatening outcomes. It can be caused by various etiological factors, including vascular occlusion, atherosclerosis, vasculitis, hypovolemic shock, cardiac failure, mesenteric ischemia, splanchnic vasoconstriction, and abdominal compartment syndrome. Furthermore, gastric dilation can be caused by volvulus and acute necrotizing gastritis. This condition may go unnoticed in the setting of intestinal obstruction. In this case report, we describe a 43-year-old female who presented with signs, symptoms, and radiological findings indicative of small bowel obstruction accompanied by a severely dilated stomach. Our aim is to highlight the importance of considering gastric ischemia in patients with small bowel obstruction and to demonstrate the outcomes of a surgical approach in such presentations.

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