{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T14:09:40Z","timestamp":1777126180944,"version":"3.51.4"},"reference-count":26,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,5,1]]},"abstract":"<jats:p>Acute massive gastric dilatation (AMGD) is a rare distinctive condition but associates with high morbidity and mortality. Though usually seen in patients with eating disorders, many aetiologies of AMGD have been described. The distension has been reported to cause gastric necrosis with or without perforation, usually within 1\u20132\u2009days of an inciting event of AMGD.<\/jats:p><jats:p>We report the case of a 58-year-old male who presented with gastric perforation associated with AMGD 11 days after surgical relief of a proximal small bowel obstruction. The AMGD arose from a closed loop obstruction between a tumour at the gastro-oesophageal junction and a small bowel obstruction as a result of volvulus around a jejunal feeding tube.<\/jats:p><jats:p>To our knowledge, this is the first case of a closed loop obstruction of this aetiology reported in the literature, and the presentation of this patient\u2019s AMGD was notable for the delayed onset of gastric necrosis. The patient underwent an exploratory laparotomy and a partial gastrectomy to excise a portion of his perforated stomach. Surgeons should be aware of the possibility of delayed ischaemic gastric perforation in cases of AMGD.<\/jats:p>","DOI":"10.1136\/bcr-2016-218513","type":"journal-article","created":{"date-parts":[[2017,6,15]],"date-time":"2017-06-15T10:05:13Z","timestamp":1497521113000},"page":"bcr-2016-218513","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":16,"title":["Acute massive gastric dilatation causing ischaemic necrosis and perforation of the stomach"],"prefix":"10.1136","volume":"2017","author":[{"given":"Maitham A","family":"Moslim","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jay","family":"Mittal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gavin A","family":"Falk","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey S","family":"Ustin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gareth","family":"Morris-Stiff","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,6,15]]},"reference":[{"key":"2025042711583317000_2017.jun15_1.bcr-2016-218513.1","doi-asserted-by":"crossref","first-page":"997","DOI":"10.1007\/s00595-012-0162-4","article-title":"Gastric rupture with necrosis following acute gastric dilatation: report of a case","volume":"42","author":"Mishima","year":"2012","journal-title":"Surg Today"},{"key":"2025042711583317000_2017.jun15_1.bcr-2016-218513.2","doi-asserted-by":"publisher","DOI":"10.1007\/s005950300068"},{"key":"2025042711583317000_2017.jun15_1.bcr-2016-218513.3","first-page":"279","article-title":"Acute massive gastric dilatation: severe ischemia and gastric necrosis without perforation","volume":"14","author":"Lunc\u0103","year":"2005","journal-title":"Rom J Gastroenterol"},{"key":"2025042711583317000_2017.jun15_1.bcr-2016-218513.4","first-page":"15","article-title":"Acute gastric dilation and ischemia secondary to small bowel obstruction","volume":"21","author":"Steen","year":"2008","journal-title":"Proc\u00a0(Bayl Univ Med Cent)"},{"key":"2025042711583317000_2017.jun15_1.bcr-2016-218513.5","doi-asserted-by":"publisher","DOI":"10.1007\/s005950300068"},{"key":"2025042711583317000_2017.jun15_1.bcr-2016-218513.6","doi-asserted-by":"crossref","first-page":"304","DOI":"10.4103\/0974-2700.66564","article-title":"Acute idiopathic gastric necrosis, perforation and shock","volume":"3","author":"Vettoretto","year":"2010","journal-title":"J Emerg Trauma Shock"},{"key":"2025042711583317000_2017.jun15_1.bcr-2016-218513.7","doi-asserted-by":"crossref","first-page":"602","DOI":"10.1080\/00015458.2008.11680297","article-title":"Acute gastric dilatation and necrosis: a case report","volume":"108","author":"Trindade","year":"2008","journal-title":"Acta Chir Belg"},{"key":"2025042711583317000_2017.jun15_1.bcr-2016-218513.8","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1007\/s00423-007-0216-z","article-title":"Gastric necrosis complicating lately a nissen fundoplication. 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