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. 2020 Jun 19;7(9):001749.
doi: 10.12890/2020_001749. eCollection 2020.

Emphysematous Gastritis in the Setting of Chronic Abdominal Pain

Aws Alameri  1 , Alsadiq Al Hillan  2 , Abdulrahman S Museedi  1 , Ahmed Oglah  1 , Mohammed Alklhero  3 , Sadie Trammell Velásquez  1
Affiliations

Emphysematous Gastritis in the Setting of Chronic Abdominal Pain

Aws Alameri et al. Eur J Case Rep Intern Med. .

Abstract

Emphysematous gastritis is a rare but fatal variant of gastritis. It is caused by gastric wall invasion by gas-forming organisms. It follows disruption of gastric mucosal integrity by a variety of factors, most commonly caustic ingestion and alcohol abuse. Patients typically present with abdominal symptoms with features of septic shock. Emphysematous gastritis carries a high mortality rate warranting early intervention with supportive measures and broad-spectrum antibiotics. It is essential to consider this rare entity in the differential diagnosis of a patient presenting with abdominal pain as timely intervention is crucial for survival.

Learning points: Emphysematous gastritis is rare but important to keep in mind when evaluating patients with acute abdominal pain.Emphysematous gastritis is a serious condition which has a high mortality rate if not diagnosed early.

Keywords: Emphysematous gastritis; chronic abdominal pain; chronic mesenteric ischemia.

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Conflict of interest statement

Conflicts of Interests: The Authors declare that there are no competing interests.

Figures

Figure 1
Figure 1
Sagittal section view of the CT angiogram of the abdomen showing narrowing of the celiac artery (blue arrow). Other findings include extensive calcification which is seen as multiple white plaques along the celiac artery, superior mesenteric artery and aorta
Figure 2
Figure 2
Multiplanar reformation CT scan of the abdomen in sagittal section, showing stenosis in the celiac artery and distal branch of the superior mesenteric artery (blue and white arrows, respectively). It also shows calcification plaques in the celiac artery, superior mesenteric artery and aorta (black arrows)
Figure 3
Figure 3
Cross-sectional view of the CT scan of the abdomen showing omental thickening (white arrow)
Figure 4
Figure 4
Coronal section view of the CT scan of the abdomen showing gas within the wall of the stomach (white arrow) and portal vein gas (black arrow)
Figure 5
Figure 5
Cross-sectional view of the CT scan of the abdomen showing gas within the wall of the stomach circumferentially
See this image and copyright information in PMC

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