A Case of Gastric Emphysema Associated with Superior Mesenteric Artery Syndrome

Kim, Miyeon; Yu, Jung Re; Kim, Heung Up

doi:2012.12.2.120

Korean J Helicobacter Up Gastrointest Res > Volume 12(2); 2012 > Article

Case Report

The Korean Journal of Helicobacter and Upper Gastrointestinal Research 2012;12(2):120-123.
DOI: https://doi.org/10.7704/kjhugr.2012.12.2.120 Published online June 10, 2012.

A Case of Gastric Emphysema Associated with Superior Mesenteric Artery Syndrome

Miyeon Kim, Jung Re Yu, Heung Up Kim

Department of Internal Medicine, Jeju National University School of Medicine, Jeju, Korea. Kimhup@jejunuh.ac.kr

상대동맥증후군에 동반된 위 기종 1예

김미연, 유정래, 김흥업

제주대학교 의학전문대학원 내과학교실

Abstract

We introduce a rare case of gastric emphysema. A 68-year-old man presented with vomiting and dyspnea. Simple abdominal X-ray and CT showed marked dilatation of the stomach and abnormal intramural gas consistent with gastric emphysema. We performed gastric decompression via nasogastric tube drainage and parenteral nutritional support. Nine days after admission, the abnormal intramural gas had disappeared on follow-up CT. The acute gastric dilatation in this patient may have resulted from gastric hypomotility as a result of diabetic gastroparesis in addition to superior mesenteric artery syndrome resulting from malnutrition.

Key Words: Superior mesenteric artery syndrome; Emphysema; Gastroparesis; Gastric dilatation; Gastric outlet obstruction