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CASE REPORT
Strangulated gastric prolapse through a gastrostomy site requiring emergent partial gastrectomy
  1. Shepard Peir Johnson,
  2. Benjamin Roose,
  3. Mary-Margaret Brandt,
  4. Harry Linne Anderson III
  1. Department of Surgery, St Joseph Mercy Ann Arbor, Ann Arbor, Michigan, USA
  1. Correspondence to Dr Harry Linne Anderson, III, harry.anderson{at}stjoeshealth.org

Summary

Strangulated gastric prolapse through a percutaneous endoscopic gastrostomy tract is a rare and potentially life-threatening complication that requires surgical intervention. We describe a case of a 74-year-old woman who was debilitated and ventilator-dependent and who presented with acute gastric prolapse with resultant ischaemic necrosis. The patient underwent an emergent exploratory laparotomy, partial gastrectomy, repair of gastrostomy defect and placement of a gastrojejunostomy feeding tube remote to the previous location. Literature on gastric prolapse in adult patients is sparse, and therefore treatment is not standardised. In this patient with strangulated tissue, the principles of management included the assessment of gastric mucosa viability, resection of ischaemic tissue and closure of the gastrostomy defect.

  • endoscopy
  • gastrointestinal surgery
  • general surgery

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Footnotes

  • Contributors SPJ is the main author and primary investigator of this case report. BR is the second author and he contributed through background research, writing and organisation of the case report. M-MB is the third author and she provided oversight on the content, structure and editing of the manuscript. HLA is the corresponding author and he provided oversight on the content and editing of the manuscript.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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