Year 2023 / Volume 115 / Number 9
Letter
Gastric pneumatosis, an uncommon complication of a lung transplant, prognosis, diagnostic and treatment management

537-538

DOI: 10.17235/reed.2023.9806/2023

Alberto García Picazo, Francisco Javier Pardo Díaz, Elena Álvaro Valiente, David Navarro Fajardo, Iago Justo Alonso, Félix Cambra Molero,

Abstract
We present a case of a 40-year-old woman with double-lung transplant with extracorporeal circulation (EC) due to pulmonary hypertension (pulmonary veno-occlusive disease form (PVOD)) secondary to mixed connective tissue disease (MCTD). On day 6 postoperatively, abdominal pain and distension was noticed, since abdominal CT scan was performed, showing emphysematous gastritis with gastric wall ischemia and peritonitis. Therefore, emergent surgery was proposed. By open surgery approach, a total gastrectomy with Roux-en-Y and esophagojejunal anastomosis was performed. On day 6 after gastrectomy, intraluminal bleeding of the esophagojejunal anastomosis was detected in control CT, which was not need any aggressive treatment. Postoperative evolution was favourable, being discharged from the intensive care unit on the day 34 and from the hospital two months later.
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References
1. Pastor-Sifuentes FU, Moctezuma-Velázquez P, Aguilar-Frasco J. Neumatosis gástrica: espectro de la enfermedad. Rev Gastroenterol Mex. 2020;85:219-220.
2. Matsushima K, Won EJ, Tangel MR, Enomoto LM, Avella DM, Soybel DI. Emphysematous gastritis and gastric emphysema: similar radiographic findings, distinct clinical entities. World J Surg. 2015 Apr;39(4):1008-1017.
3. Belda González I, Soliva Martínez D, Castro García A, Cantero García A, Cantero Ayllon MJ, de Miguel Ibañez R. Gastric neumatosis: When not to operate. Cir Esp. 2018;96(2):121-128.
4. Guillen Morales C, Manuel Vazquez A, Carrascosa Mirón T, Bañuls Laguna L, Jimenez Miramón FJ, Jover Navalón JM. Rara causa de abdomen agudo y tratamiento conservador: gastritis enfisematosa, a propo´ sito de un caso. Cir Esp. 2014;92:523.
5. Duran M, Calleja R, Naranjo A, Briceño J. Gastric and intestinal pneumatosis. Gastroenterol Hepatol. 2019;42(7):447-448.
Citation tools
García Picazo A, Pardo Díaz F, Álvaro Valiente E, Navarro Fajardo D, Justo Alonso I, Cambra Molero F, et all. Gastric pneumatosis, an uncommon complication of a lung transplant, prognosis, diagnostic and treatment management. 9806/2023


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Publication history

Received: 27/06/2023

Accepted: 06/07/2023

Online First: 04/08/2023

Published: 06/09/2023

Article Online First time: 38 days

Article editing time: 71 days


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