[Emphysematous Gastritis. Report of a Case in the Elderly]

Overview

Journal Rev Med Inst Mex Seguro Soc

Specialty General Medicine

Date 2022 Jun 27

PMID 35759695

Authors

Cristina Del Rocio Sanchez-Hernandez

Karla Paulina Farias-Cuevas

Affiliations

Soon will be listed here.

Abstract

Introduction: Emphysematous gastritis is an uncommon pathology but with high mortality, its clinical presentation is insidious, the tomography image is distinguished by a pattern of linear bubbles with thickening of the gastric wall.

Background: This is a 78-year-old male, previously healthy, functional, who was admitted for pertrochanteric fracture of the left hip, who during hospitalization presented hyperactive delirium, abdominal distention with decreased perstalsis in addition to arterial hypotension, an abdominal tomography with evidence of gastric dilation and multiple air bubbles in the wall. He is managed with a broad spectrum antibiotic, fluid therapy and parenteral nutrition, with a favorable response.

Conclusions: Advanced age does not in itself lead to a worse disease prognosis, the evidence supports that early diagnosis and early therapeutic intervention are the measures that have proven to be more effective in reducing mortality in patients with emphysematous gastritis.

References

Roa-Colomo A, Caballero-Mateos A, Martinez-Tirado P . The importance of recognizing emphysematous gastritis in time. Rev Gastroenterol Mex (Engl Ed). 2020; 85(4):475-476. DOI: 10.1016/j.rgmx.2020.05.006. View

Lee B, Kim S, Seong J, Kim S, Jeong H, Lee H . Phlegmonous gastritis after endoscopic mucosal resection. Endoscopy. 2005; 37(5):490-3. DOI: 10.1055/s-2005-861254. View

Paul M, John S, Menon M, Golewale N, Weiss S, Murthy U . Successful medical management of emphysematous gastritis with concomitant portal venous air: a case report. J Med Case Rep. 2010; 4:140. PMC: 2881009. DOI: 10.1186/1752-1947-4-140. View

Rada-Palomino A, Munoz-Duyos A, Perez-Romero N, Vargas-Pierola H, Puertolas-Rico N, Ruiz-Campos L . Phlegmonous gastritis: A rare entity as a differential diagnostic of an acute abdomen. Description of a case and a bibliographic review. Rev Esp Enferm Dig. 2014; 106(6):418-24. View

Moosvi A, Saravolatz L, Wong D, Simms S . Emphysematous gastritis: case report and review. Rev Infect Dis. 1990; 12(5):848-55. DOI: 10.1093/clinids/12.5.848. View

Nemakayala D, Rai M, Rayamajhi S, Jafri S . Role Of Conservative Management In Emphysematous Gastritis. BMJ Case Rep. 2018; 2018. PMC: 5847900. DOI: 10.1136/bcr-2017-222118. View

Singh K . Emphysematous Gastritis Associated with . Case Rep Gastroenterol. 2019; 13(1):207-213. PMC: 6514519. DOI: 10.1159/000499446. View

Jeong M, Kim J, Kim J, Kim H, Jo I, Seo J . [Emphysematous gastritis with concomitant portal venous air]. Korean J Gastroenterol. 2015; 65(2):118-22. DOI: 10.4166/kjg.2015.65.2.118. View

Szuchmacher M, Bedford T, Sukharamwala P, Nukala M, Parikh N, DeVito P . Is surgical intervention avoidable in cases of emphysematous gastritis? A case presentation and literature review. Int J Surg Case Rep. 2013; 4(5):456-9. PMC: 3731705. DOI: 10.1016/j.ijscr.2012.12.021. View

10.

Watson A, Bul V, Staudacher J, Carroll R, Yazici C . The predictors of mortality and secular changes in management strategies in emphysematous gastritis. Clin Res Hepatol Gastroenterol. 2016; 41(1):e1-e7. DOI: 10.1016/j.clinre.2016.02.011. View

11.

Ihoriya H, Yumoto T, Iwamuro M, Fujisaki N, Osako T, Naito H . Gastric Emphysema in a Critically Ill Patient Successfully Treated without Surgery. Case Rep Crit Care. 2019; 2019:1824101. PMC: 6442441. DOI: 10.1155/2019/1824101. View

12.

Ocepek A, Skok P, Virag M, Kamenik B, Horvat M . Emphysematous gastritis -- case report and review of the literature. Z Gastroenterol. 2004; 42(8):735-8. DOI: 10.1055/s-2004-813238. View

13.

McKelvie P, Fink M . A fatal case of emphysematous gastritis and esophagitis. Pathology. 1994; 26(4):490-2. DOI: 10.1080/00313029400169252. View

14.

Robinson S, Sadowski B, Eickhoff C, Mitre E, Young P . Emphysematous Gastritis in a Patient with Untreated Cyclic Vomiting Syndrome. ACG Case Rep J. 2019; 5:e90. PMC: 6358574. DOI: 10.14309/crj.2018.90. View

15.

Goyal O, Bansal A, Goyal P . Emphysematous Gastritis with Air in Portal Venous System. J Assoc Physicians India. 2017; 65(5):105-106. View

16.

Costa A, Oliveira C, Certo M . Emphysematous gastritis: a terrifying presentation. BMJ Case Rep. 2020; 13(12). PMC: 7737059. DOI: 10.1136/bcr-2020-239208. View

17.

Riaz S, Kudaravalli P, Saleem S, Sapkota B . Emphysematous Gastritis: A Real Indication for Emergent Surgical Intervention?. Cureus. 2020; 12(5):e8106. PMC: 7228801. DOI: 10.7759/cureus.8106. View