A Rare Case of Acute Idiopathic Gastric Necrosis.

Acute idiopathic gastric necrosis is a rare, life-threatening condition resulting from sudden gastric ischemia and subsequent wall necrosis. Here, we describe a 14-year-old boy who presented with upper intestinal obstruction, vomiting, abdominal distension, severe pain, and failure to pass flatus or stool. Imaging revealed gastric and duodenal dilatation, indicating proximal obstruction. Exploratory laparotomy identified a gangrenous patch on the anterior gastric wall, necessitating resection and gastrojejunostomy. Despite postoperative complications, including gastric perforations and evisceration, the patient recovered following timely re-intervention. This case underscores the need for early diagnosis, prompt surgical management, and multidisciplinary care to prevent further complications and reduce mortality.