2.Emphysematous gastritis: a case report and a review of literature.
Tsuan-Hao LOI ; Ju-Yaw SEE ; Ravishankar K DIDDAPUR ; John R ISSAC
Annals of the Academy of Medicine, Singapore 2007;36(1):72-73
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.
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
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