Ischemic Gastritis Improved by Supportive Care |
Yun Sun Choi, Chan Soo So, Dong Hee Koh, Min Ho Choi, Hyun Joo Jang, Sea Hyub Kae, Jin Lee, Young Hee Choi |
1Department of Internal Medicine, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Korea. 2Department of Pathology, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Korea. yhchoi@hallym.or.kr |
보존적인 치료로 호전된 허혈성 위염 1예 |
최윤선, 소찬수, 고동희, 최민호, 장현주, 계세협, 이 진, 최영희1 |
한림대학교동탄성심병원 의과대학 내과학교실, 병리학교실1 |
Correspondence:
Young Hee Choi, Email: yhchoi@hallym.or.kr |
Received: 5 April 2017 • Revised: 6 May 2017 • Accepted: 7 May 2017 |
Abstract |
Acute extensive ischemic gastritis is an extremely rare disease because the stomach has an abundant submucosal vascular plexus with a dual blood supply from the pancreaticoduodenal and gastroduodenal arteries. Smoking, hypertension, and atherosclerotic vascular diseases can be major risk factors for ischemic gastritis. Acute gastric ischemia presents as an acute abdomen with diarrhea or hematemesis that rapidly progresses to acute peritonitis, irreversible septic shock, and death if untreated. We report a case of acute extensive ischemic gastritis combined with tetraplegia due to cervical myelopathy and extensive atherosclerotic changes of the celiac trunk and abdominal aorta. |
Key Words:
Ischemic gastritis; Stomach; Treatment |
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