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Emphysematous gastritis: a case report and a review of literature
Tsuan-Hao Loi1, Ju-Yaw See, Ravishankar K Diddapur
1Department of Surgery, National University Hospital, Singapore. tsuanhao@yahoo.com.sg
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.
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