Gastric pneumatosis, an uncommon complication of a lung transplant, prognosis, diagnostic and treatment management

We present a case of a 40-year-old woman with double-lung transplant with extracorporeal circulation (EC) due to pulmonary hypertension (pulmonary veno-occlusive disease form (PVOD)) secondary to mixed connective tissue disease (MCTD). On day 6 postoperatively, abdominal pain and distension was noti...

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Bibliographic Details
Published in:	Revista española de enfermedades digestivas Vol. 116; no. 9; p. 537
Main Authors:	García Picazo, Alberto, Pardo Díaz, Francisco Javier, Álvaro Valiente, Elena, Navarro Fajardo, David, Justo Alonso, Iago, Cambra Molero, Félix
Format:	Journal Article
Language:	English Spanish
Published:	Spain Sociedad Espanola de Patologia Digestivas 01-09-2023
Subjects:	Blood Diagnostic imaging Medical examination Transplantation of organs, tissues, etc
Online Access:	Get full text
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Summary:	We present a case of a 40-year-old woman with double-lung transplant with extracorporeal circulation (EC) due to pulmonary hypertension (pulmonary veno-occlusive disease form (PVOD)) secondary to mixed connective tissue disease (MCTD). On day 6 postoperatively, abdominal pain and distension was noticed, since abdominal CT scan was performed, showing emphysematous gastritis with gastric wall ischemia and peritonitis. Therefore, emergent surgery was proposed. By open surgery approach, a total gastrectomy with Roux-en-Y and esophagojejunal anastomosis was performed. On day 6 after gastrectomy, intraluminal bleeding of the esophagojejunal anastomosis was detected in control CT, which was not need any aggressive treatment. Postoperative evolution was favourable, being discharged from the intensive care unit on the day 34 and from the hospital two months later.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	1130-0108
DOI:	10.17235/reed.2023.9806/2023