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. 2010 May 19:4:140.
doi: 10.1186/1752-1947-4-140.

Successful medical management of emphysematous gastritis with concomitant portal venous air: a case report

Manju Paul  1 , Savio John, Madhav C Menon, Nazar H Golewale, Stan L Weiss, Uma K Murthy
Affiliations

Successful medical management of emphysematous gastritis with concomitant portal venous air: a case report

Manju Paul et al. J Med Case Rep. .

Abstract

Introduction: The causes of diffuse abdominal pain following pelvic surgery are numerous. We present a rare case of acute abdominal pain in a woman in the post-partum period.

Case presentation: A 25-year-old Caucasian woman with neurofibromatosis type 1 presented to our hospital with diffuse abdominal pain immediately after a cesarean section. The patient was acutely ill and toxic with a fever of 38.8 degrees C, a pulse of 120 beats per minute and a distended abdomen with absent bowel sounds. A computed tomography scan showed air in the wall of the stomach and portal venous system. The patient was successfully treated with intravenous antibiotics, bowel rest and total parenteral nutrition.

Conclusion: It is rare for a case of emphysematous gastritis associated with portal venous air to be treated successfully without surgery. To the best of our knowledge, to date there has been no reported association of emphysematous gastritis with neurofibromatosis.

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Figures

Figure 1
Figure 1
Scout film showing air along the greater curvature of the stomach.
Figure 2
Figure 2
CT of the abdomen showing air in the stomach wall and portal venous system. Black arrow: Portal venous air. White arrows: Air in the stomach wall.
Figure 3
Figure 3
Follow-up abdominal CT on day eight showing resolution of stomach wall and portal venous air.
See this image and copyright information in PMC

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