Acute massive gastric dilatation with necrosis and portal vein gas accumulation—a case report - Summary - 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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Objective:

To report a case of severe gastric distension caused by binge eating, complicated by localized gastric necrosis and gas accumulation in the portal vein.

Approach:
    Key Findings:
    • Acute gastric distension can occur in healthy individuals without eating disorders, as demonstrated in this case.
    • The presence of gas in the portal vein indicates severe mucosal necrosis, which was observed in this patient.
    • Early diagnosis via CT and prompt surgical intervention were critical for the patient's survival.
    Interpretation:

    This case illustrates the life-threatening nature of acute gastric distension and the necessity for timely surgical intervention.

    Limitations:
    • The case study is based on a single patient, limiting generalizability.
    • Lack of comprehensive data on the incidence and causes of acute gastric distension.
    Conclusion:

    The case underscores the need for awareness of acute gastric distension as a potential consequence of binge eating.

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