Acute massive gastric dilatation with necrosis and portal vein gas accumulation—a case report - Report - MDSpire

Acute massive gastric dilatation with necrosis and portal vein gas accumulation—a case report

  • By

  • Xiaoxu He

  • Jun Wang

  • Yongjiang Zhao

  • Shumin Ma

  • Zhiping Wang

  • Bo Chen

  • Yongliang Yao

  • June 19, 2026

  • 0 min

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Clinical Report: Case Study of Severe Acute Gastric Distension

Background

Acute gastric distension is a rare but potentially fatal condition that can lead to severe complications such as ischemic necrosis and perforation. Understanding the mechanisms and clinical presentations of AGD is essential for healthcare professionals to manage this life-threatening emergency effectively.

Data Highlights

Laboratory TestResult
pH7.265
Hyperlactatemia11.3 mmol/L

Key Findings

  • Acute gastric distension can occur in healthy individuals following binge eating.
  • Severe gastric distension can lead to ischemic necrosis and gas accumulation in the portal vein.
  • Early diagnosis via CT scan is crucial for identifying AGD and associated complications.
  • Emergency laparotomy and gastric decompression are vital for patient survival in cases of AGD with ischemia.
  • Mortality rates associated with gastric ischemia and perforation can be as high as 80-100%.

Clinical Implications

Healthcare providers should be vigilant for signs of acute gastric distension, especially in patients with a history of binge eating.

Conclusion

This case demonstrates that even healthy individuals without eating disorders may develop AGD due to acute binge eating.

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Original Source(s)

Acute massive gastric dilatation with necrosis and portal vein gas accumulation—a case report

  • by Xiaoxu He, Jun Wang, Yongjiang Zhao, Shumin Ma, Zhiping Wang, Bo Chen, Yongliang Yao

  • June 19, 2026

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