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Life-threatening acute gastric dilatation with aorta compression in a 3-year-old child

Authors
 Ah Young Kim  ;  Se Yong Jung  ;  Lucy Youngmin Eun 
Citation
 Pediatrics International, Vol.57(6) : 1184-1186, 2015 
Journal Title
 Pediatrics International 
ISSN
 1328-8067 
Issue Date
2015
MeSH
Acute Disease ; Aorta, Abdominal/diagnostic imaging* ; Aortic Diseases/diagnosis ; Aortic Diseases/etiology* ; Child, Preschool ; Constriction, Pathologic/diagnosis ; Constriction, Pathologic/etiology ; Diagnosis, Differential ; Fatal Outcome ; Gastric Dilatation/complications* ; Gastric Dilatation/diagnosis ; Humans ; Male ; Radiography, Abdominal ; Tomography, X-Ray Computed
Keywords
aorta compression ; child ; gastric dilatation
Abstract
We report a fatal case of acute gastric dilatation in a 3-year old boy who presented with severe abdominal pain and massive gastric distension in the emergency room. On physical examination the patient was in shock due to acute abdomen and lower limb ischemia. Initial laboratory findings showed multi-organ failure with acute renal failure and pancreatitis. Abdominal computed tomography (CT) showed marked dilatation of the stomach resulting in compression of the abdominal aorta. The left kidney, spleen and pancreas were not visible on CT due to the necrotic changes. The patient was quickly stabilized by initial volume resuscitation, but suddenly deteriorated immediately after gastric decompression via nasogastric tube, and died from multi-organ failure 3 h after initial presentation.
Full Text
http://onlinelibrary.wiley.com/doi/10.1111/ped.12714/abstract
DOI
10.1111/ped.12714
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pediatrics (소아청소년과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Ah Young(김아영) ORCID logo https://orcid.org/0000-0002-0713-4461
Eun, Lucy Youngmin(은영민) ORCID logo https://orcid.org/0000-0002-4577-3168
Jung, Se Yong(정세용) ORCID logo https://orcid.org/0000-0003-1337-563X
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/157145
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