Snarska J, Jacyna K, Janiszewski J, Shafie D, Iwanowicz K, Żurada A. Exceptionally rare cause of a total stomach resection. World J Gastroenterol 2012; 18(20): 2582-2585 [PMID: 22654458 DOI: 10.3748/wjg.v18.i20.2582]
Corresponding Author of This Article
Jadwiga Snarska, MD, PhD, Department of General Surgery, Faculty of Medical Sciences, University of Warmia and Mazury in Olsztyn, ul. Żołnierska 14C, 10561 Olsztyn, Poland. jadwiga.snarska@uwm.edu.pl
Article-Type of This Article
Case Report
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World J Gastroenterol. May 28, 2012; 18(20): 2582-2585 Published online May 28, 2012. doi: 10.3748/wjg.v18.i20.2582
Exceptionally rare cause of a total stomach resection
Jadwiga Snarska, Krzysztof Jacyna, Jacek Janiszewski, Danuta Shafie, Katarzyna Iwanowicz, Anna Żurada
Jadwiga Snarska, Krzysztof Jacyna, Katarzyna Iwanowicz, Department of General Surgery, Faculty of Medical Sciences, University of Warmia and Mazury in Olsztyn, 10561 Olsztyn, Poland
Jacek Janiszewski, Department of Internal Diseases, Medical Care Centre of the Ministry of the Interior and Administration with the Warmia and Mazury Centre of Oncology in Olsztyn, 10561 Olsztyn, Poland
Danuta Shafie, Department of Pathology, Faculty of Medical Sciences, University of Warmia and Mazury in Olsztyn, 10561 Olsztyn, Poland
Anna Żurada, Department of Anatomy, Faculty of Medical Sciences, University of Warmia and Mazury in Olsztyn, 10561 Olsztyn, Poland
Author contributions: Snarska J was responsible for the research design and wrote the paper; Snarska J, Janiszewski J and Iwanowicz K performed the surgical research; Jacyna K performed internal research; Shafie D performed histopathological research; Snarska J, Jacyna K, Janiszewski J, Shafie D, Iwanowicz K and Żurada A analyzed and interpreted the data; Snarska J and Żurada A designed the paper, drafted the article, revised it, and obtained final approval.
Correspondence to: Jadwiga Snarska, MD, PhD, Department of General Surgery, Faculty of Medical Sciences, University of Warmia and Mazury in Olsztyn, ul. Żołnierska 14C, 10561 Olsztyn, Poland. jadwiga.snarska@uwm.edu.pl
Telephone: +48-89-5277004 Fax: +48-89-5245301
Received: November 16, 2011 Revised: January 18, 2012 Accepted: March 9, 2012 Published online: May 28, 2012
Abstract
The first-ever case of a 54-year-old woman who overdosed on non-steroidal anti-inflammatory drugs in an attempt at suicide. Before that incident, she had not been treated for coexisting diseases such as rheumatoid arthritis or depression. At the time of admission to the General Surgery Department, the patient reported pains in the epigastric region with accompanying nausea and vomiting with mucous content as well as the inability to ingest food orally. Despite parenteral and enteral feeding, the patient exhibited a drop in body mass. The histopathologic examination of a sample taken from the stomach during gastroscopy showed some non-specific necrotic and inflammatory masses with granulation. Intraoperatively, a very small, infiltrated stomach with an initial section of duodenum was identified. A total stomach resection together with the reconstruction of digestive tract continuity was performed using the Roux-Y method. Histopathologic examination of the stomach revealed a deep, chronic and exacerbated inflammatory condition with an extensive ulceration over the entire length of the stomach, reaching up to the pylorus. Additionally, numerous lymphatic glands with inflammatory reaction changes were observed.
