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第52卷 第1期 2019-2
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篇名 Emphysematous gastritis after radical subtotal gastrectomy for advanced gastric cancer
作者 Jou‑Chien Liao, Chung‑Wei Lin
卷期/出版年月 51卷3期 (2018/6)
頁次 129-131
摘要 Emphysematous gastritis is a rare but severe disease characterized by air within the gastric wall. It is commonly caused by a bacterial infection and carries a remarkably high mortality rate (50%–60%). The most common predisposing factors include ingestion of corrosive substances, alcohol abuse, and recent abdominal surgery. Diagnosis of emphysematous gastritis is difficult and relies on computed tomography (CT) scan because of the nonspecific clinical presentation of abdominal pain with systemic toxicity. In this report, we present a case of a 78‑year‑old male with gastric adenocarcinoma who underwent laparoscopic radical subtotal gastrectomy. After the operation, he complained of severe abdominal pain and fever. Subsequently, the patient developed acute respiratory distress syndrome and septic shock. A CT scan performed on postoperative day 17 revealed extensive intramural gas in the stomach. The patient was diagnosed with emphysematous gastritis and received conservative treatment.
關鍵詞 Emphysematous gastritis, gastric cancer, laparoscopic subtotal gastrectomy
分類 Case Report

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