A Case of Emphysematous Gastritis in a Patient with End-stage Renal Disease.
- Author:
Geun Jun KO
1
;
Koung Suk PARK
;
Tae Woon PARK
;
Meung Yeul WOO
;
Ki Jun HAN
;
Sang Cheul LEE
;
Jae Hee CHO
Author Information
- Publication Type:Case Report ; English Abstract
- Keywords: Emphysematous gastritis; End-stage renal disease; Hemodialysis
- MeSH: Anti-Bacterial Agents/therapeutic use; Emphysema; Female; Gastritis/complications/*diagnosis/radiography; Gastroscopy; Humans; Kidney Failure, Chronic/complications/*diagnosis; Klebsiella pneumoniae/isolation & purification; Middle Aged; Renal Dialysis; Sputum/microbiology; Tomography, X-Ray Computed
- From:The Korean Journal of Gastroenterology 2011;58(1):38-41
- CountryRepublic of Korea
- Language:Korean
- Abstract: Emphysematous gastritis is a rare infection of the stomach wall with high mortality rate. It is caused by gas forming organisms and may arise by local spread through the mucosa or hematogenous dissemination from distant focus. Clinical manifestation includes acute abdomen with systemic toxicity, and diagnosis is based on radiologic demonstration of gas within the gastric wall. Treatment should be aimed to cover gram-negative organisms and anaerobes using wide-spectrum intravenous antibiotics, and sometimes surgical management may be needed in order to enhance survival. Herein, we report a case of emphysematous gastritis in a patient with end stage renal disease on hemodialysis.
