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Case Reports
. 2022 Aug 30;15(8):e249773.
doi: 10.1136/bcr-2022-249773.

Conservative management of gastric pneumatosis following left gastric artery embolisation

Matthew D Bloom  1 , Michael Ladna  2
Affiliations
Case Reports

Conservative management of gastric pneumatosis following left gastric artery embolisation

Matthew D Bloom et al. BMJ Case Rep. .

Abstract

Gastric pneumatosis, the presence of air within the stomach wall, is a very rare occurrence with poor outcomes. One of the most common mechanisms for gastric pneumatosis is gastric ischaemia, also a rare entity. Although patients with gastric ischaemia may require surgical intervention, they can often be treated with conservative measures such as a proton pump inhibitor, broad-spectrum antibiotics, nasogastric tube decompression, fluid resuscitation and total parenteral nutrition. We report a rare case of gastric ischaemia and pneumatosis following therapeutic left gastric artery argon plasma coagulation that was treated with conservative measures.

Keywords: endoscopy; interventional radiology; medical management; stomach and duodenum; stomach wall.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
OGD showing discolouration and deep ulceration in the proximal stomach involving the anterior and posterior wall extending down to the lesser curvature of the stomach. OGD, oesophagogastroduodenoscopy.
Figure 2
Figure 2
CT showing pneumatosis and mural thickening along the wall of the lesser curvature of the stomach.
See this image and copyright information in PMC

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