Emphysematous Gastritis: Case Report and Review

Moosvi, Ali; Saravolatz, Louis D.; Wong, Danielle; Simms, Stuart M.

doi:10.1093/clinids/12.5.848

Cited by 119 publications

(96 citation statements)

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“…The strictures cause a disturbed passage of stomach contents. In an analysis of 28 cases, Moosvi et al found, that despite the changes in treatment from the years before 1968 to the period between 1968 and 1990, the mortality rate had only decreased by 10% (before 1968: 65%; 1968-1990: 55%), whereas the average mortality rate in this series was 61% [33]. Mook et al, however, established a mortality rate of 60% in a series of 10 cases in the period of time between 1990 and 2000 [32].…”

Section: Discussionmentioning

confidence: 53%

“…The patient's symptomatic as well as supportive treatment must be effective, the hemodynamic balance must be maintained and electrolyte replacement carried out during absolute fasting and parenteral feeding. On account of the possibility of an inhibition or even prevention of the healing process in the anastomotic surgical area, operative treatment is not advised in the acute phase [33]. However, early surgical treatment is vital in case of complications such as rupture of the stomach wall, affection of the entire or the larger part of the stomach, peritonitis, signs of infarction in the stomach and deterioration in the patient's condition despite optimal therapy.…”

Section: Discussionmentioning

confidence: 99%

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Phlegmonous gastritis in a patient with rheumatoid arthritis

Kavalar

Skok

Kramberger

2005

Wien Klin Wochenschr

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Phlegmonous gastritis is an acute infection of the stomach wall by pyogenic bacteria. It represents an extremely rare disease with a fulminating course and a high mortality rate. A precise lifetime diagnosis is generally unsuccessful. The inflammation, most often caused by alpha-hemolytic streptococci, is most frequently expressed in patients who are more susceptible to infection. Among these are elderly patients, women, patients with chronic gastritis, chronic peptic ulcer, hepatic cirrhosis and decreased immune tolerance, T-cell leukemia, patients with a low socio-economic status and alcoholics. In our paper we are describing the case of a 66-year old female patient, who had received many years of treatment for rheumatoid arthritis. She died due to phlegmonous gastritis, which was only established post-mortem. The authors share the opinion that the occurrence of the phlegmonous form of gastritis was influenced significantly by the treatment with nonsteroidal antirheumatics and corticosteroids, which she had received for many years and also immediately prior to the complication.

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Section: Discussionmentioning

confidence: 53%

Section: Discussionmentioning

confidence: 99%

Phlegmonous gastritis in a patient with rheumatoid arthritis

Kavalar

Skok

Kramberger

2005

Wien Klin Wochenschr

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“…It entails two divergent diagnoses, Emphysematous Gastritis (EG), a serious medical condition with an estimated mortality rate of around 61%, and Gastric Emphysema (GE), a more benign entity that usually resolves with medical management and observation alone [3][4][5].…”

Section: Discussionmentioning

confidence: 99%

“…Risk factors for EG include recent abdominal surgery, caustic ingestion, Alcohol abuse steroids, severe vomiting, gastroparesis and immunosuppression [3][4][5][6][7].…”

Section: Discussionmentioning

confidence: 99%

Gastric Emphysema in a Diabetic Patient Presenting as Chest Pain-A Case Report and Literature Review

Khalid¹,

Bakhit²,

Gayam³

et al. 2016

J Gastrointest Dig Syst

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Gastric emphysema (GE) is a rare radiological finding; Only 41 cases have been reported in literature between 1889-2003. During our review we found 22 cases that are reported in the last decade. The difficulty to differentiate GE from Emphysematous gastritis -which entails a more malignant course, poses a challenge to the clinicians in management. To our knowledge this is the first case of gastric emphysema presenting with chest pain and vomiting.We present a case of a diabetic woman whom presented with chest pain found vomiting and admitted initially as a cardiac case. Later on her admission she was found to have gastric emphysema. She was treated conservatively and had a full recovery.

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“…Causes in infants include necrotizing enterocolitis, caustic ingestion, recent abdominal surgery or gastroenteritis. 4 These patients present with fever, appear unwell and have laboratory evidence of leukocytosis.…”

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confidence: 99%

Massive gastric pneumatosis from pyloric stenosis

Lim¹,

McKillop²,

Karanicolas³

et al. 2010

Canadian Medical Association Journal

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A 12-week-old infant presented with a one-day history of increased vomiting and lethargy. Gastroesophageal reflux had been diagnosed when he was four weeks old, but the symptoms had not lessened, despite a change of formula. The infant was severely dehydrated and had gastric distension, a decreased level of consciousness and gasping respirations. There was no abdominal tenderness. He was resuscitated with tracheal intubation and intravenous fluids. A plain radiograph showed massive gastric pneumatosis (Figure 1). Blood test results showed hypochloremic metabolic alkalosis. Ultrasonography suggested hypertrophic pyloric stenosis. The patient was stabilized, and a nasogastric tube was inserted for decompression. At the time of pyloromyotomy five days after admission, he had a markedly hypertrophied pylorus, and pneumatosis was still palpable in the stomach wall. The infant was discharged home in good condition four days after surgery.Fraenkel first described the unusual presentation of air within the wall of the stomach in 1889.1 The condition can be noninfectious (gastric pneumatosis) or infectious (emphysematous gastritis). The mortality rate for gastric pneumatosis is 41% in adults and 6% in children.2 Gastric pneumatosis is caused by a disruption of the gastric mucosa, which results in air dissecting into the stomach wall. This disruption typically results from gastric outlet obstruction caused by pyloric stenosis (as in this case), duodenal stenosis 3 or tumours; it can also result from protracted vomiting, instrumentation or tracking of air through the mediastinum or the pneumothorax. Pyloric stenosis is the most common cause of intestinal obstruction in infants.Emphysematous gastritis refers to mucosal disruption caused by gas-forming bacterial invasion. An antecedent gastric mucosal injury may allow infiltration of the bacteria. Causes in infants include necrotizing enterocolitis, caustic ingestion, recent abdominal surgery or gastroenteritis.4 These patients present with fever, appear unwell and have laboratory evidence of leukocytosis.This article has been peer reviewed.Competing interests: None declared.

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Emphysematous Gastritis: Case Report and Review

Cited by 119 publications

References 0 publications

Phlegmonous gastritis in a patient with rheumatoid arthritis

Phlegmonous gastritis in a patient with rheumatoid arthritis

Gastric Emphysema in a Diabetic Patient Presenting as Chest Pain-A Case Report and Literature Review

Massive gastric pneumatosis from pyloric stenosis

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