Korean Journal of Nephrology 2011;30(2):201-205.
Acute Extensive Ischemic Gastroduodenitis in a Patient with End Stage Renal Disease: A Case Report
Jaeseok Bae, M.D.1, Hyun Joo Song, M.D.1, Eun-Hee Jang, M.D.1 and Bong Soo Kim, M.D.2
Department of Internal Medicine1 and Radiology2
Jeju National University School of Medicine, Jeju, Korea
증례 : Acute Extensive Ischemic Gastroduodenitis in a Patient with End Stage Renal Disease: A Case Report
Jaeseok Bae, M.D.1, Hyun Joo Song, M.D.1, Eun-Hee Jang, M.D.1 and Bong Soo Kim, M.D.2
Department of Internal Medicine1 and Radiology2, 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.
Key Words: Ischemia, Gastritis, Duodenitis, Atherosclerosis, Chronic kidney failure


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