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Case Reports
. 2022 Sep 9;17(11):4257-4259.
doi: 10.1016/j.radcr.2022.08.046. eCollection 2022 Nov.

Emphysematous gastritis: Impressive radiological findings

Myeong Ja Jeong  1
Affiliations
Case Reports

Emphysematous gastritis: Impressive radiological findings

Myeong Ja Jeong. Radiol Case Rep. .

Abstract

Emphysematous gastritis is a rare form of phlegmonous gastritis, characterized by the formation of air in the gastric wall by gas-forming microorganisms. Early diagnosis and treatment are important because of its fatal consequences (high morbidity and mortality). A 64-year-old woman presented to our emergency department with abdominal discomfort, nausea, and general weakness. An abdominal examination revealed severe epigastric tenderness, and laboratory findings revealed elevated inflammatory markers. A computed tomography scan revealed gas within the gastric wall and marked gastric wall thickening. Herein, we present a case of early diagnosed emphysematous gastritis, which was successfully treated conservatively without surgery.

Keywords: Case report; Computed tomography; Emphysematous gastritis; Radiology.

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Figures

Fig 1
Fig. 1
Abdominal radiograph (supine view) shows mottled and irregular collections of gas within the stomach wall (arrows).
Fig 2
Fig. 2
Enhanced axial and coronal computed tomography scans reveal gastric wall thickening and mottled gas in the gastric wall.
Fig 3
Fig. 3
Enhanced axial and coronal computed tomography scans reveal gastric wall thickening and mottled gas in the gastric wall.
See this image and copyright information in PMC

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