Emphysematous gastritis: a case report and a review of literature

ABSTRACT

<p><b>INTRODUCTION</b>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.</p><p><b>CLINICAL PICTURE</b>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.</p><p><b>TREATMENT</b>The patient was started on a course of broad spectrum antibiotics.</p><p><b>OUTCOME</b>She responded and was discharged well.</p><p><b>CONCLUSION</b>Emphysematous gastritis is a rare condition with high mortality. There is however, still no preferable approach of treatment despite therapeutic advances.</p>