Korean J Gastroenterol.  2015 Feb;65(2):118-122. 10.4166/kjg.2015.65.2.118.

Emphysematous Gastritis with Concomitant Portal Venous Air

• Jeong MY
• Kim JI
• Kim JY
• Kim HH
• Jo IH
• Seo JH
• Kim IK
• Cheung DY

• KMID: 2373193
• DOI: http://doi.org/10.4166/kjg.2015.65.2.118

Abstract

Emphysematous gastritis is a rare form of gastritis caused by infection of the stomach wall by gas forming bacteria. It is a very rare condition that carries a high mortality rate. Portal venous gas shadow represents elevation of intestinal luminal pressure which manifests as emphysematous gastritis or gastric emphysema. Literature reviews show that the mortality rate is especially high when portal venous gas shadow is present on CT scan. Until recently, the treatment of emphysematous gastritis has been immediate surgical intervention. However, there is a recent trend of avoiding surgery because of the frequent occurrence of post-operative complications such as anastomosis leakage. In addition, aggressive surgical treatment has failed to show significant improvement in prognosis. Recently, the authors experienced a case of emphysematous gastritis accompanied by portal venous gas which was treated successfully by conservative treatment without immediate surgical intervention. Herein, we present a case of emphysematous gastritis with concomitant portal venous air along with literature review.

Keyword

Gastritis; Endoscopy; Computed tomography

MeSH Terms

Aged, 80 and over
Emphysema/complications/*diagnosis/drug therapy
Female
Gastritis/complications/*diagnosis/drug therapy
Gastroscopy
Humans
Portal Vein
Proton Pump Inhibitors/therapeutic use
Tomography, X-Ray Computed
Proton Pump Inhibitors