Successful conservative management of emphysematous gastritis in an elderly patient with multiple comorbidities: A
Nawaf Alshahwan1, Abdullah A Alqarzaie2, Saleh Husam Aldeligan3
1Trauma and Acute Care Surgery Unit, Department of Surgery, King Saud University, Riyadh 11416, Saudi Arabia.
Background:
Emphysematous gastritis (EG) is a rare and serious condition that has fatal consequences. Although its clinical presentation is not specific, radiological imaging is characterized by intramural gastric gas. Defects in the stomach mucosal barrier and invasion of gas-producing organisms are believed to be the cause.
Case Summary:
An 88-year-old male with multiple comorbidities presented to our center with abdominal pain and increased stoma output as chief complaints. Upon further investigation he was found to have EG. Despite the high mortality risk without intervention, the patient and family declined operative intervention.
Conclusion:
This case report underscored the challenges of managing a critically ill elderly patient with a history of multiple comorbidities and extensive abdominal surgeries and highlighted the successful use of conservative measures in treating EG.
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