Life-threatening acute gastric dilatation with aorta compression in a 3-year-old child.
Ah Young KimSe Yong JungLucy Youngmin EunPublished in: Pediatrics international : official journal of the Japan Pediatric Society (2015)
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.
Keyphrases
- liver failure
- computed tomography
- aortic dissection
- respiratory failure
- drug induced
- case report
- mental health
- image quality
- dual energy
- positron emission tomography
- contrast enhanced
- public health
- emergency department
- aortic valve
- healthcare
- magnetic resonance imaging
- abdominal pain
- hepatitis b virus
- early onset
- extracorporeal membrane oxygenation