Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2013 May 2:2013:bcr2012007757.
doi: 10.1136/bcr-2012-007757.

Intramural gas in stomach along with acute calculus cholecystitis: an unusual association

Zohaib Gulzar Naqvi  1 , Noman Shahzad, Abdul Rehman Alvi, Shahrukh Effendi
Affiliations
Case Reports

Intramural gas in stomach along with acute calculus cholecystitis: an unusual association

Zohaib Gulzar Naqvi et al. BMJ Case Rep. .

Abstract

Intramural gas in stomach is a rare finding, but differential diagnosis of this condition into gastric emphysema and emphysematous gastritis is clinically important because of vastly different aetiologies and prognosis. Emphysematous gastritis is caused by gas producing micro-organisms inside the stomach wall and is a potentially fatal condition, while, on the other hand, gas enters stomach wall through mucosal breach in the case of gastric emphysema and prognosis is usually good with complete resolution. To date, no case has been reported in the literature showing gas in the stomach wall in a patient with acute calculus cholecystitis. We present a case of a young man with upper abdominal pain, and who, upon diagnostic work up was diagnosed with acute calculus cholecystitis with associated intramural gas in the stomach with no known aetiological factors to be positive. Conservative management with close observation resulted in complete symptomatic resolution.

PubMed Disclaimer

Figures

Figure 1
Figure 1
CT scan abdomen: (arrow) showing intramural air in stomach.
Figure 2
Figure 2
CT scan abdomen: showing intramural air in the fundal part (dependent and non-dependent) of the stomach.
Figure 3
Figure 3
CT scan abdomen: (arrows) showing two calculi in gallbladder.
Figure 4
Figure 4
CT scan abdomen: (arrows) showing gallbladder calculas and intramural gastric air.
Figure 5
Figure 5
CT scan abdomen: (arrows) showing gallbladder calculas with sludge and intramural gastric air.
Figure 6
Figure 6
CT scan abdomen: (arrows) showing gallbladder calculas with sludge and intramural gastric air.
Figure 7
Figure 7
CT scan abdomen: (arrows) showing large gallbladder calculas with sludge and intramural gastric air.
Figure 8
Figure 8
Upper gastrointestinal endoscopy showing mild erythema in the antrum and body of the stomach.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Arezzo A, Famiglietti F, Garabello D, et al. Complete resolution of emphysematous gastritis after conservative management. Clin Gastroenterol Hepatol 2011;2013:e30. - PubMed
    1. Nasr D, Bernard P, Basile N. [Emphysematous gastritis]. J Chir (Paris) 2007;2013:439–40 - PubMed
    1. Hyun YS, Han DS, Lee HL, et al. Gastric emphysema after endoscopic submucosal dissection. Endoscopy 2011;2013(Suppl 2 UCTN):E83–4 - PubMed
    1. Zenooz NA, Robbin MR, Perez V. Gastric pneumatosis following nasogastric tube placement: a case report with literature review. Emerg Radiol 2007;2013:205–7 - PubMed
    1. Lim RK, McKillop S, Karanicolas PJ, et al. Massive gastric pneumatosis from pyloric stenosis. CMAJ 2010;2013:E227. - PMC - PubMed

Publication types