Ischaemic gastropathy: an under-recognised cause of abdominal pain
  • Masara Touza
    Critical Care Medicine, St. Michael’s Medical Center, Newark, USA
  • Oluwatosin Emehinola
    Critical Care Medicine, St. Michael’s Medical Center, Newark, USA
  • Ruhma Ali
    Critical Care Medicine, St. Michael’s Medical Center, Newark, USA
  • Asma Jamil
    Critical Care Medicine, St. Michael’s Medical Center, Newark, NJ, USA
  • Muhammad Hussain
    Critical Care Medicine, St. Michael’s Medical Center, Newark, USA
  • Raed Atiyat
    Critical Care Medicine, St. Michael’s Medical Center, Newark, USA
  • Richard Miller
    Critical Care Medicine, St. Michael’s Medical Center, Newark, USA

Keywords

Ischaemic gastropathy, gastric hypoperfusion, gastric ischaemia, appendectomy

Abstract

Ischaemic gastropathy is an under-recognised phenomenon with a particularly poor prognosis, where early diagnosis is crucial for successful medical intervention and the prevention of life-threatening complications. We present a case involving a 42-year-old female with no history of vascular insufficiency who developed ischaemic gastropathy following a prolonged stay in the intensive care unit, from septic shock secondary to Escherichia coli bacteraemia due to complicated acute appendicitis. This case underscores the importance of the physician’s awareness regarding this rare entity and the necessity to consider it in the differential diagnosis of abdominal pain and haematemesis. Prompt diagnosis and treatment may significantly improve survival outcomes in this less-documented pathology, especially in the younger adult population.

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References

  • Tang S-J, Daram SR, Wu R, Bhaijee F. Pathogenesis, diagnosis, and management of gastric ischemia. Clin Gastroenterol Hepatol 2014;12:246–252.e1.
  • Liberski SM, Koch KL, Atnip RG, Stern RM. Ischemic gastroparesis: resolution after revascularization. Gastroenterology 1990;99:252–257.
  • McQuaid KR. Gastritis & gastropathy. In: Papadakis MA, McPhee SJ, Rabow MW, McQuaid KR, editors. Current medical diagnosis & treatment, McGraw Hill Education; 2022, p. 15–22. Accessed 28 October 2023. https://accessmedicine.mhmedical.com/content.aspx?bookid=3081&sectionid=258985087.
  • Hernandez LA, Grisham MB, Twohig B, Arfors KE, Harlan JM, Granger DN. Role of neutrophils in ischemia-reperfusion-induced microvascular injury. Am J Physiol 1987;253:H699–H703.
  • Gourgoutis G, Das G. Gastrointestinal manifestations of cocaine addiction. Int J Clin Pharmacol Ther 1994;32:136–141.
  • Marrone GC, Silen W. Pathogenesis, diagnosis and treatment of acute gastric mucosal lesions. Clin Gastroenterol 1984;13:635–650.
  • Silen W. The clinical problem of stress ulcers. Clin Invest Med 1987;10:270–274.
  • Sugawa C, Lucas CE, Rosenberg BF, Riddle JM, Walt AJ. Differential topography of acute erosive gastritis due to trauma or sepsis, ethanol and aspirin. Gastrointest Endosc 1973;19:127–130.
  • Lev R, Molot MD, McNamara J, Stremple JF. ‘Stress’ ulcers following war wounds in Vietnam. A morphologic and histochemical study. Lab Invest 1971;25:491–502.

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    Published: 2024-02-28
    Issue: 2024: Vol 11 No 3 (view)

    How to cite:
    1.
    Touza M, Emehinola O, Ali R, Jamil A, Hussain M, Atiyat R, Miller R. Ischaemic gastropathy: an under-recognised cause of abdominal pain. EJCRIM 2024;11 doi:10.12890/2024_004322.

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