Emphysematous gastritis: a case report and a review of literature.
- Author:
Tsuan-Hao LOI
1
;
Ju-Yaw SEE
;
Ravishankar K DIDDAPUR
;
John R ISSAC
Author Information
- Publication Type:Journal Article
- MeSH: Anti-Bacterial Agents; therapeutic use; Emphysema; diagnostic imaging; Female; Gastritis; drug therapy; pathology; Humans; Middle Aged; Portal Vein; Radiography; Thienamycins; therapeutic use; Ultrasonography; Venous Thrombosis; diagnostic imaging
- From:Annals of the Academy of Medicine, Singapore 2007;36(1):72-73
- CountrySingapore
- Language:English
-
Abstract:
INTRODUCTIONGas is rarely found within the viscera outside the lumen of the gastrointestinal tract. Emphysematous gastritis is a rare form of infection of the stomach wall by gas producing organisms.
CLINICAL PICTUREA 45-year-old Chinese lady underwent hepatectomy for hepatocellular carcinoma. Postoperatively, she turned septic and encephalopathic with worsening liver function. Computed tomography scan revealed a thickened, oedematous stomach wall with air pockets within.
TREATMENTThe patient was started on a course of broad spectrum antibiotics.
OUTCOMEShe responded and was discharged well.
CONCLUSIONEmphysematous gastritis is a rare condition with high mortality. There is however, still no preferable approach of treatment despite therapeutic advances.