Emphysematous Gastritis: A Case Report and a Review of Literature

Abstract

Introduction: Gas is rarely found within the viscera outside the lumen of the gastrointestinal tract. Emphysematous gastritis is a rare form of infection of the stomach wall by gas producing organisms. Clinical Picture: A 45-year-old Chinese lady underwent hepatectomy for hepatocellular carcinoma. Postoperatively, she turned septic and encephalopathic with worsening liver function. Computed tomography scan revealed a thickened, oedematous stomach wall with air pockets within. Treatment: The patient was started on a course of broad spectrum antibiotics. Outcome: She responded and was discharged well. Conclusion: Emphysematous gastritis is a rare condition with high mortality. There is however, still no preferable approach of treatment despite therapeutic advances. Key words: gas, stomach wall, gastric emphysema