Massive gastric perforation in a patient with mitochondrial encephalomyopathy, lactic acidosis and stroke-like episodes: A case report

doi:10.4240/wjgs.v18.i5.117633

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World Journal of Gastrointestinal Surgery

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1948-9366

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Case Report

Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Gastrointest Surg. May 27, 2026; 18(5): 117633
Published online May 27, 2026. doi: 10.4240/wjgs.v18.i5.117633

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Figure 1 Magnetic resonance spectroscopy, cranial computed tomography angiography and cerebral computed tomography perfusion images. A and B: Magnetic resonance spectroscopy showed patchy abnormal signal lesions in the left temporo-occipital lobe, and an elevated lactate peak was observed in the left temporal lobe; C and D: Cranial computed tomography angiography and cerebral computed tomography perfusion imaging showed no significant abnormalities.

Citation: Zhang ZX, Jin BW, Wang S, Tao KL. Massive gastric perforation in a patient with mitochondrial encephalomyopathy, lactic acidosis and stroke-like episodes: A case report. World J Gastrointest Surg 2026; 18(5): 117633
URL: https://www.wjgnet.com/1948-9366/full/v18/i5/117633.htm
DOI: https://dx.doi.org/10.4240/wjgs.v18.i5.117633

Zhang ZX, Jin BW, Wang S, Tao KL. Massive gastric perforation in a patient with mitochondrial encephalomyopathy, lactic acidosis and stroke-like episodes: A case report. World J Gastrointest Surg 2026; 18(5): 117633 [DOI: 10.4240/wjgs.v18.i5.117633]

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