Reviewer's report
Title:Acute gastric dilatation due to a superior mesenteric artery syndrome : an
autopsy case
Version: 1Date:6 July 2013
Reviewer: Sanjay Marwah
Reviewer's report:
The author has reported an interesting case of acute gastric dilatation due to a
superior mesenteric artery syndrome. However, the explanation of cause of
death doesn’t match with the case findings.
Major Compulsory Revisions
1. First paragraph of case presentation mentions that “the patient was found
dead lying on her back with large amount of dark brown vomit on the floor around
her”. This description suggests choking due to aspiration of large amount of
vomitus that could be a possible cause of death in this case. However autopsy
findings of the lungs including trachea-bronchial tree are not mentioned.
2. Second paragraph of case presentation mentions that “left proximal part of
greater curvature was gray colored and necrotic (Fig. 1)”. However, the greater
curvature appears normal in the photograph. The author should include closer
view of greater curvature, cut section of stomach and histopathological findings
showing transmural gastric necrosis to prove this point.
3. Second paragraph of conclusion mentions that “We suspected that past
intrinsic peritonitis may have been the cause of the pathological changes”. The
author has highlighted it as first case report of SMA syndrome due to intrinsic
peritonitis. However, neither there is any term like “intrinsic peritonitis” in the
literature nor any cross reference has been provided in the text for this term.
Minor Essential Revisions
1. The heading of conclusion should be replaced as discussion.
Level of interest: An article of limited interest
Quality of written English: Needs some language corrections before being
published
Statistical review: No, the manuscript does not need to be seen by a
statistician.
Declaration of competing interests:
'I declare that I have no competing interests'
Reviewer's report
Title:Acute gastric dilatation due to a superior mesenteric artery syndrome : an
autopsy case
Version: 1Date:6 July 2013
Reviewer: Sanjay Marwah
Reviewer's report:
The author has reported an interesting case of acute gastric dilatation due to a
superior mesenteric artery syndrome. However, the explanation of cause of
death doesn’t match with the case findings.
Major Compulsory Revisions
1. First paragraph of case presentation mentions that “the patient was found
dead lying on her back with large amount of dark brown vomit on the floor around
her”. This description suggests choking due to aspiration of large amount of
vomitus that could be a possible cause of death in this case. However autopsy
findings of the lungs including trachea-bronchial tree are not mentioned.
2. Second paragraph of case presentation mentions that “left proximal part of
greater curvature was gray colored and necrotic (Fig. 1)”. However, the greater
curvature appears normal in the photograph. The author should include closer
view of greater curvature, cut section of stomach and histopathological findings
showing transmural gastric necrosis to prove this point.
3. Second paragraph of conclusion mentions that “We suspected that past
intrinsic peritonitis may have been the cause of the pathological changes”. The
author has highlighted it as first case report of SMA syndrome due to intrinsic
peritonitis. However, neither there is any term like “intrinsic peritonitis” in the
literature nor any cross reference has been provided in the text for this term.
Minor Essential Revisions
1. The heading of conclusion should be replaced as discussion.
Level of interest: An article of limited interest
Quality of written English: Needs some language corrections before being
published
Statistical review: No, the manuscript does not need to be seen by a
statistician.
Declaration of competing interests:
'I declare that I have no competing interests'
Please review this paper.
user
Reviewer's report
Title:Acute gastric dilatation due to a superior mesenteric artery syndrome : an
autopsy case
Version: 1Date:6 July 2013
Reviewer: Sanjay Marwah
Reviewer's report:
The author has reported an interesting case of acute gastric dilatation due to a
superior mesenteric artery syndrome. However, the explanation of cause of
death doesn’t match with the case findings.
Major Compulsory Revisions
1. First paragraph of case presentation mentions that “the patient was found
dead lying on her back with large amount of dark brown vomit on the floor around
her”. This description suggests choking due to aspiration of large amount of
vomitus that could be a possible cause of death in this case. However autopsy
findings of the lungs including trachea-bronchial tree are not mentioned.
2. Second paragraph of case presentation mentions that “left proximal part of
greater curvature was gray colored and necrotic (Fig. 1)”. However, the greater
curvature appears normal in the photograph. The author should include closer
view of greater curvature, cut section of stomach and histopathological findings
showing transmural gastric necrosis to prove this point.
3. Second paragraph of conclusion mentions that “We suspected that past
intrinsic peritonitis may have been the cause of the pathological changes”. The
author has highlighted it as first case report of SMA syndrome due to intrinsic
peritonitis. However, neither there is any term like “intrinsic peritonitis” in the
literature nor any cross reference has been provided in the text for this term.
Minor Essential Revisions
1. The heading of conclusion should be replaced as discussion.
Level of interest: An article of limited interest
Quality of written English: Needs some language corrections before being
published
Statistical review: No, the manuscript does not need to be seen by a
statistician.
Declaration of competing interests:
'I declare that I have no competing interests'
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