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Emphysematous gastritis: The diagnostic challenges and variable outcomes.
Devin Naidoo1, Arun Kumar2, Ranjit Chaudhary2
1Frank H. Netter MD School of Medicine, Quinnipiac University, North Haven, CT, 06473 USA.
Radiology Case Reports
|June 9, 2025
Summary
Emphysematous gastritis (EG), a rare gastric condition, presents diagnostic challenges. Early CT scans and tailored treatments are crucial for managing this life-threatening illness, as demonstrated by two patient cases with varied outcomes.
Area of Science:
- Gastroenterology
- Radiology
- Emergency Medicine
Background:
- Emphysematous gastritis (EG) is a rare, severe condition with high mortality.
- Nonspecific symptoms and rapid progression complicate diagnosis and treatment.
Observation:
- Two cases of emphysematous gastritis are presented with differing outcomes.
- Both patients underwent abdominal CT scans, revealing key features like gastric pneumatosis and portal venous gas.
- Radiographic findings can mimic other intra-abdominal pathologies.
Findings:
- Conservative management with antibiotics and decompression led to recovery in one patient.
- The other patient, with underlying gastric adenocarcinoma, succumbed to sepsis despite aggressive interventions.
- Individualized treatment strategies are essential for optimizing patient outcomes.
Implications:
- Prompt diagnosis via CT imaging is critical for identifying emphysematous gastritis.
- Differentiating EG from mimics based on imaging is vital for appropriate intervention.
- Further research is needed to refine diagnostic and therapeutic protocols for EG.
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