Gastric Dilatation Secondary to Diabetic Autonomic Neuropathy

A 75-year-old woman was admitted to the hospital due to severe nausea and vomiting. she had a 12-year history of type 2 diabetes with erratic glucose control complicated by severe bilateral retinopathy and peripheral neuropathy. Symptoms of bloating had developed during the previous several months. A plain abdominal radiograph showed a very dilated stomach (arrows) occupying most of the abdomen. A nasogastric tube was inserted, which decompressed her stomach and relieved her acute symptoms. She underwent placement of a percutaneous endoscopic gastrostomy tube with jejunal extension for the management of symptoms. Two weeks later, she died of complications from aspiration . . .

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