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Case Reports
. 2020 May 13;12(5):e8106.
doi: 10.7759/cureus.8106.

Emphysematous Gastritis: A Real Indication for Emergent Surgical Intervention?

Sana Riaz  1 , Pujitha Kudaravalli  1 , Sheikh A Saleem  2 , Bishnu Sapkota  2
Affiliations
Case Reports

Emphysematous Gastritis: A Real Indication for Emergent Surgical Intervention?

Sana Riaz et al. Cureus. .

Abstract

Emphysematous gastritis is a rare disease with gastric inflammation and intramural gas formation due to gas-forming microorganisms. It is diagnosed based on clinical presentation and imaging findings of gas in the gastric wall. Computed tomography is the preferred imaging modality. Early diagnosis and management are important since emphysematous gastritis is associated with high rates of morbidity and mortality. We present a case of emphysematous gastritis, which was successfully managed conservatively through early diagnosis and prompt treatment.

Keywords: coffee-ground emesis; conservative management; emphysematous gastritis; epigastric pain.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Computed tomography of the abdomen and pelvis showing gastric wall thickening along with circumferential gas formation (arrow).
Figure 2
Figure 2. Esophagogastroduodenoscopy showing gastric wall necrosis along the greater curvature (arrows).
Figure 3
Figure 3. Pathology slide demonstrating emphysematous gastritis.
See this image and copyright information in PMC

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