Acute massive gastric dilatation as a result of closed-loop obstruction of stomach: an unusual and rare phenomenon

BMJ Case Rep. 2020 Sep 2;13(9):e235943. doi: 10.1136/bcr-2020-235943.

Abstract

Acute massive gastric dilatation (AMGD) is a rare event which is usually underdiagnosed. It can occur due to multiple etiologies, including medical and surgical, or as a postoperative complication. We report a rare case of AMGD as a result of closed-loop obstruction of the stomach following feeding jejunostomy in a patient with carcinoma oesophagus. A high index of suspicion, early diagnosis and prompt management is the key to the successful treatment. To the best of our knowledge, this is the second case report of a closed-loop obstruction of the stomach leading to AMGD in published literature.

Keywords: gastrointestinal surgery; general surgery; stomach wall.

Publication types

  • Case Reports

MeSH terms

  • Carcinoma / complications
  • Carcinoma / radiotherapy
  • Decompression
  • Deglutition Disorders / etiology
  • Deglutition Disorders / surgery*
  • Drainage
  • Enteral Nutrition / methods*
  • Esophageal Neoplasms / complications
  • Esophageal Neoplasms / radiotherapy
  • Esophagus / diagnostic imaging
  • Esophagus / pathology
  • Gastric Dilatation / diagnosis*
  • Gastric Dilatation / etiology
  • Gastric Dilatation / surgery
  • Gastric Outlet Obstruction / diagnosis*
  • Gastric Outlet Obstruction / etiology
  • Gastric Outlet Obstruction / surgery
  • Gastrostomy
  • Humans
  • Jejunostomy / adverse effects*
  • Male
  • Middle Aged
  • Reoperation
  • Stomach / diagnostic imaging
  • Tomography, X-Ray Computed
  • Treatment Outcome