Year 2019 / Volume 111 / Number 3
Letter
Black stomach: acute gastric wall ischemia due to polycythemia of an unknown origin

248

DOI: 10.17235/reed.2018.5849/2018

Richard Azevedo, Flávio Pereira, Ana Caldeira,

Abstract
Acute ischemia of the gastric mucosa, resulting in a black stomach, is a very rare event given the blood supply of the stomach, with a rich collateral blood flow system. We present the case of a 65-year-old man, with polycythemia of unknown origin under investigation, presented to the emergency department with a history of diffuse abdominal pain and hematemesis. Blood tests revealed a hemoglobin level of 22 g/dL.Upper endoscopy revealed a black ulcerated gastric mucosa compatible with acute necrosis of the corpus and antrum of the stomach . Despite few cases described in the literature, many etiologic factors have been suggested. In this particular case, given the severe polycythemia and associated hyperviscosity, vascular compromise of the gastric blood vessels might have played a major role in the pathogenesis of the ischemic process.
Share Button
New comment
Comments
No comments for this article
References
Santos T, Freitas C, Pinto-de-Sousa J. Gastric wall ischemia following massive gastric distension due to peptic pyloric stenosis: a case report. J Surg Case Reports. 2016;2016(2). doi:10.1093/jscr/rjw008.
Nunes G, Patita M, Fernandes V, et al. Paraesophageal hernia and gastric volvulus: an uncommon etiology of vomiting and upper gastrointestinal bleeding. Rev Esp Enferm Dig. 2017;109(4):294-295.
Sala-Hernandez A, Pous-Serrano S, Lucas-Mera E, et al. Acute transverse colon volvulus with secondary gastric isquemia. Case report. Rev Esp Enferm Dig. 2016;108(3):163-164. doi:10.17235/reed.2016.4024/2015.
Vettoretto N, Viotti F, Taglietti L, et al. Acute idiopathic gastric necrosis, perforation and shock. J Emergencies, Trauma Shock. 2010;3(3):304. doi:10.4103/0974-2700.66564.
Related articles
Citation tools
Azevedo R, Pereira F, Caldeira A. Black stomach: acute gastric wall ischemia due to polycythemia of an unknown origin. 5849/2018


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 355 visits.
This article has been downloaded 144 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 30/07/2018

Accepted: 04/08/2018

Online First: 19/11/2018

Published: 04/03/2019

Article Online First time: 112 days

Article editing time: 217 days


Share
This article has been rated by 1 readers.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology