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Emphysematous gastritis.

Katherine Allan¹, Jose Barriga, Mansoor Afshani

¹Department of Internal Medicine, University of Tennessee Health Science Center, Memphis, Tennessee 38163, USA.

The American Journal of the Medical Sciences

|April 16, 2005

Summary

Emphysematous gastritis, a rare condition involving gas in the stomach wall from infection, was identified in an elderly diabetic patient. Early diagnosis via computed tomography is crucial for managing this serious gastrointestinal issue.

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Area of Science:

Gastroenterology
Infectious Diseases
Radiology

Background:

Emphysematous gastritis is a rare, potentially life-threatening condition characterized by gas accumulation within the gastric wall.
It is typically caused by infection with gas-producing microorganisms, often in patients with underlying health conditions.

Observation:

A case report details an 82-year-old male with diabetes presenting with altered mental status, fever, and leukocytosis.
Computed tomography (CT) incidentally revealed intramural air within the gastric wall, indicative of emphysematous gastritis.

Findings:

The CT findings confirmed the presence of gas within the stomach wall, leading to the diagnosis of emphysematous gastritis.
The patient's presentation highlighted the importance of considering this rare diagnosis in individuals with relevant risk factors and symptoms.

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Implications:

This case underscores the necessity of early recognition and diagnosis of emphysematous gastritis, often aided by advanced imaging like CT.
Prompt diagnosis and appropriate management are critical for improving patient outcomes in this uncommon gastrointestinal emergency.