Emphysematous Gastritis with Concomitant Portal Venous Air.
10.4166/kjg.2015.65.2.118
- Author:
Min Yeong JEONG
1
;
Jin Il KIM
;
Jae Young KIM
;
Hyun Ho KIM
;
Ik Hyun JO
;
Jae Hyun SEO
;
Il Kyu KIM
;
Dae Young CHEUNG
Author Information
1. Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. jikim@catholic.ac.kr
- Publication Type:Case Reports
- Keywords:
Gastritis;
Endoscopy;
Computed tomography
- MeSH:
Aged, 80 and over;
Emphysema/complications/*diagnosis/drug therapy;
Female;
Gastritis/complications/*diagnosis/drug therapy;
Gastroscopy;
Humans;
Portal Vein;
Proton Pump Inhibitors/therapeutic use;
Tomography, X-Ray Computed
- From:The Korean Journal of Gastroenterology
2015;65(2):118-122
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Emphysematous gastritis is a rare form of gastritis caused by infection of the stomach wall by gas forming bacteria. It is a very rare condition that carries a high mortality rate. Portal venous gas shadow represents elevation of intestinal luminal pressure which manifests as emphysematous gastritis or gastric emphysema. Literature reviews show that the mortality rate is especially high when portal venous gas shadow is present on CT scan. Until recently, the treatment of emphysematous gastritis has been immediate surgical intervention. However, there is a recent trend of avoiding surgery because of the frequent occurrence of post-operative complications such as anastomosis leakage. In addition, aggressive surgical treatment has failed to show significant improvement in prognosis. Recently, the authors experienced a case of emphysematous gastritis accompanied by portal venous gas which was treated successfully by conservative treatment without immediate surgical intervention. Herein, we present a case of emphysematous gastritis with concomitant portal venous air along with literature review.
