Korean J Nephrol.  2011 Mar;30(2):201-205.

Acute Extensive Ischemic Gastroduodenitis in a Patient with End Stage Renal Disease: A Case Report

Affiliations
  • 1Department of Internal Medicine, Jeju National University School of Medicine, Jeju, Korea. songhj@jejunu.ac.kr
  • 2Department of Radiology, Jeju National University School of Medicine, Jeju, Korea.

Abstract

Acute extensive ischemic gastroduodenitis is a very rare disease because the stomach and duodenum normally have enough blood supply to the upper gastrointestinal (GI) tract and the submucosal vascular plexus. The major causes of upper GI hemorrhage in end stage renal disease (ESRD) patients include erosive gastritis, erosive esophagitis, esophageal ulcer and peptic ulcer. Ischemic gastritis and duodenitis have been reported to be rare as a cause of upper GI bleeding in ESRD patients. We report a case of acute extensive ischemic gastroduodenitis caused by septic shock with severe mesenteric calcification in a patient with ESRD undergoing maintenance hemodialysis.

Keyword

Ischemia; Gastritis; Duodenitis; Atherosclerosis; Chronic kidney failure

MeSH Terms

Atherosclerosis
Duodenitis
Duodenum
Esophagitis
Gastritis
Hemorrhage
Humans
Ischemia
Kidney Failure, Chronic
Peptic Ulcer
Rare Diseases
Renal Dialysis
Shock, Septic
Stomach
Ulcer
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