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Watanabe, Taku; Sumi, Yasuhiro; Ishigami, Yuta; Nakano, Ryota; Kato, Yoshihiko; Miyahara, Toshiyuki; Nakano, Hiroshi
Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine), 2018/05/31, Volume: 38, Issue: 4Journal Article
An unconscious 75-year-old female was admitted to our hospital. She went into cardiopulmonary arrest in the emergency room, but was resuscitated successfully. Abdominal computed tomography revealed a massive hematoma in the stomach. Gastrointestinal endoscopy was performed, but the source of the bleeding could not be identified. An emergency laparotomy was performed under a diagnosis of a hemorrhagic gastric ulcer. Laparotomy revealed ulcerative lesions in the posterior wall of the upper body of the stomach. A total gastrectomy was performed and the patient was rescued. On postoperative day 35, Roux-Y reconstruction was performed. We report herein on a case of cardiopulmonary arrest due to a hemorrhagic gastric ulcer successfully treated with a two staged operation and discuss the clinical implications based on a review of the literature.
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