Urosepsis Causing Gastric Ischemia: A Rare but Deadly Complication
Joint Authors
Jarodiya, Vijay
Kher, Chirag
Nanthabalan, Sangeetha
Shah, Gunjan
Source
Case Reports in Gastrointestinal Medicine
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-09-24
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
A 70-year-old male presented with abdominal pain and altered mental status.
He was found to have sepsis secondary to a urinary tract infection with imaging showing hepatic portal venous gas and gastric pneumatosis.
Esophagogastroduodenoscopy revealed gastric ischemia extending to the midbody with necrosis and biopsies confirming ischemia.
The patient was treated conservatively with intermittent nasogastric tube suctioning, acid suppression therapy and broad-spectrum antibiotics.
The patient improved clinically and repeat imaging and EGD showed resolution of the ischemia.
The patient’s diet was advanced and he was discharged to a long-term acute care facility.
Gastric ischemia is a rare condition caused by local or diffuse vascular insufficiency.
Management is either surgical or conservative with acid suppression, nasogastric tube suctioning and broad-spectrum antibiotics.
Gastric ischemia is often diagnosed late and can have complications such as gastric perforation which carries high morbidity and mortality.
American Psychological Association (APA)
Jarodiya, Vijay& Kher, Chirag& Nanthabalan, Sangeetha& Shah, Gunjan. 2019. Urosepsis Causing Gastric Ischemia: A Rare but Deadly Complication. Case Reports in Gastrointestinal Medicine،Vol. 2019, no. 2019, pp.1-3.
https://search.emarefa.net/detail/BIM-1136184
Modern Language Association (MLA)
Jarodiya, Vijay…[et al.]. Urosepsis Causing Gastric Ischemia: A Rare but Deadly Complication. Case Reports in Gastrointestinal Medicine No. 2019 (2019), pp.1-3.
https://search.emarefa.net/detail/BIM-1136184
American Medical Association (AMA)
Jarodiya, Vijay& Kher, Chirag& Nanthabalan, Sangeetha& Shah, Gunjan. Urosepsis Causing Gastric Ischemia: A Rare but Deadly Complication. Case Reports in Gastrointestinal Medicine. 2019. Vol. 2019, no. 2019, pp.1-3.
https://search.emarefa.net/detail/BIM-1136184
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1136184