Gastric ischaemia: a rare cause of gastric ulcers.
Gastric ulcers secondary to gastric ischaemia is rare because of the rich blood supply of the stomach. We present a case where a patient with history of atherosclerotic vascular disease (ASCVD) presented with unintentional weight loss and failure to thrive for several months. Initial imaging studies ruled out any active malignancy. Oesophagogastroduodenoscopy revealed multiple shallow gastric ulcers. CT angiography was performed in later course of the hospital stay, which demonstrated a high-grade stenosis at the origin of both the superior mesenteric artery and the coeliac trunk. This combination stenosis is a rare finding, which can lead to ischaemia of the stomach by blocking the stomach's dual blood supply. Although the patient underwent revascularisation attempt with stent placement, she expired due to critical postoperative condition. This case signifies the importance of keeping a low threshold for suspicion for gastric ischaemia in patients with ASCVD risk factors and unexplained weight loss.
['Dutta|Arunima|A|', 'Byreddi|Laxman Yashwant|LY|', 'Kesari|Kavitha|K|', 'Buchupalle|Priyanka|P|']
D002445:Celiac Artery D005260:Female D006801:Humans D007511:Ischemia D017538:Mesenteric Artery, Superior D013276:Stomach Ulcer
ulcer gastrointestinal surgery gastrointestinal system stomach and duodenum vascular surgery