Emphysematous gastritis after acute pancreatitis.

Bloodworth, L L; Stevens, P E; Bury, Roxana; P, J; Rainford, David

doi:10.1136/gut.28.7.900

Cited by 18 publications

(7 citation statements)

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“…The most often stated diseases are diabetes [4,15], rheumatic diseases, treatment with corticosteroids and cytotoxins [3,16,17], leukemia in children [18], lymphoma following chemotherapy with development of disseminated strongyloidosis [19] and ERF treated with peritoneal dialysis [7]. Other trigger factors mentioned are acute pancreatic infection [20,21], cancer of stomach [22] and pancreas [6], gastric phytobezoar [23], the ingestion of large quantities of Coca Cola [24], infarction of the digestive tube wall [25,26], gastric mucormycosis [16] and anorexic-bulimic nutritional disturbance with acute stomach dilatation [27]. The altered gastric mucosa is invaded by gas-forming bacteria, possibly due to local spread of the infection or hematogenous dissemination from a remote focus such as an otitis [3].…”

Section: Discussionmentioning

confidence: 99%

“…In the literature we have found seven cases in which endoscopy of the upper digestive tract was done as part of the diagnostic procedure. The most frequent findings included erythematous, erosive and hemorrhagic-inflammatory, at times already necrotic changes of the mucosa, thickened gastroplication, and only in one case the characteristic "pavement" image owing to the gas bubbles under the mucosa [2,16,20,21,25,27,31]. The advantage of endoscopy is that it allows us to take specimens for bacteriological analysis directly from the affected organ, its disadvantage is the risk of stomach perforation [6].…”

Section: Discussionmentioning

confidence: 99%

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Emphysematous Gastritis - Case Report and Review of the Literature

et al. 2004

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Emphysematous gastritis is a rare form of phlegmonous gastritis caused by invasion of the stomach wall by gas-forming bacteria. This clinical entity was first described by Fraenkel in 1889. The authors report the case of a 58-year-old patient with end-stage renal failure under treatment with hemodialysis for the past year. He was admitted on account of pain in the lower abdomen. During the diagnostic procedure, emphysematous gastritis and acute cholecystitis were confirmed. An acute abdomen developed and an emergency laparotomy was performed. During the procedure, the necrotic gallbladder was removed. The patient died on the following day due to multiorgan failure and septic shock. According to the literature, emphysematous gastritis is generally a fatal disease. Air in the wall of the stomach is a rare finding with a broad differential diagnosis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Emphysematous Gastritis - Case Report and Review of the Literature

et al. 2004

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“…These can be categorised into obstructive, traumatic and pulmonary mechanisms producing a mucosal tear, decreased mucosal integrity or a ruptured pulmonary bullae leading to emphysema. Multiple reports have since described this finding in newborns to adults and from infectious EG 8 to non-infectious causes such as instrumentation, 9 orthotic devices, 10 gastric outlet obstruction, 11 ingested toxins, 12 pulmonary disease, 13 pancreatitis, 14 atypical hernias, 15 gastric volvulus or small bowel obstruction. 16 Distinguishing between EG and other more benign causes of GE is important to ensure the patient receives the most appropriate management.…”

Section: Discussionmentioning

confidence: 91%

Gastric emphysema secondary to laparoscopic gastric band erosion

Munro

2014

International Journal of Surgery Case Reports

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INTRODUCTIONGastric band erosion is a known complication of adjustable gastric band surgery. There are no previous reports of gastric band erosion associated with gastric emphysema (GE) or emphysematous gastritis (EG), a rare condition with a mortality rate exceeding 50%.PRESENTATION OF CASEWe report the first known case of GE found in a 58-year-old lady presenting with acute onset epigastric abdominal pain and haematemesis in the setting of a chronically eroded gastric band. GE was visualised in the anterior gastric wall of the stomach without evidence of EG. Endoscopic and surgical examination of the stomach was undertaken along with band removal followed by defect repair.DISCUSSIONGE can result from obstructive, traumatic and pulmonary causes. EG is a rare and often lethal form of GE resulting from bacterial invasion of the gastric wall through a mucosal defect leading to sepsis and gastric necrosis. Early reports documented early definitive operative debridement of necrotic gastric wall of patients with EG while recent reports have demonstrated a feasible non-operative approach among highly selected patients with no evidence of gastric necrosis. There are no previous reports on the treatment of patients with gastric band erosion and suspected EG.CONCLUSIONPatients presenting acutely with symptomatic gastric band erosion, radiological evidence of GE with evidence of leucocytosis, peritonism or sepsis may develop EG. A high index of suspicion, low threshold for operative exploration and optimal management with antimicrobial therapy and close supportive care are necessary to ensure the best survival outcomes for these patients.

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“…2007). Gastroscopy may reveal empysema just beneath the mucosal surface or areas of necrosis (Bloodworth et al . 1987).…”

Section: Discussionmentioning

confidence: 99%

“…Gastroscopy may reveal empysema just beneath the mucosal surface or areas of necrosis (Bloodworth et al 1987). More recently, endoscopic ultrasonography has been utilised in man to detect emphysematous gastritis (Soon et al 2005).…”

Section: Discussionmentioning

confidence: 99%

Ante mortem diagnosis of necrotising emphysematous oesophagitis and gastritis in a horse

Whelchel¹,

Arnold²,

Chaffin³

2010

Equine Veterinary Education

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Summary The case reported here describes a rare presentation of necrotising, emphysematous oesophagitis and gastritis in a horse presenting for signs of anorexia, dysphagia and ptyalism. Radiography of the retropharyngeal region revealed intramural gas within the cranial oesophagus. Further diagnostic evaluation supported an ante mortem diagnosis of emphysematous oesophagitis with concurrent septic pleuritis and peritonitis. Post mortem findings confirmed an emphysematous, necrotising oesophagitis and gastritis with a Clostridium sp. transmural infection. To our knowledge, this case describes the first recorded ante mortem diagnosis of emphysematous oesophagitis with concurrent gastritis in the horse.

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Emphysematous gastritis after acute pancreatitis.

Abstract: Despite treatment with gentamicin, metronidazole, and cefotaxime he remained clinically septicaemic with a white cell count which reached 10Ox 109/ml. On day 26 he had a gastrointestinal

Cited by 18 publications

References 1 publication

Emphysematous Gastritis - Case Report and Review of the Literature

Emphysematous Gastritis - Case Report and Review of the Literature

Gastric emphysema secondary to laparoscopic gastric band erosion

Ante mortem diagnosis of necrotising emphysematous oesophagitis and gastritis in a horse

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