1. Emphysematous gastritis associated with severe vascular disease
- Author
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Balraj, Praveen, Ramachandra, Prashanth, and Medvetz, Lisa
- Subjects
Gastritis -- Patient outcomes ,Gastritis -- Case studies ,Gastritis -- Care and treatment ,Gastritis -- Diagnosis ,CT imaging -- Usage ,CT imaging -- Health aspects ,Blood circulation disorders -- Risk factors ,Blood circulation disorders -- Diagnosis ,Blood circulation disorders -- Care and treatment ,Health - Abstract
Introduction: Emphysematous gastritis is a rare form of gastritis that results from infection of the stomach wall by gas-forming organisms. Diagnosis of emphysematous gastritis is based on the clinical presentation of an acute abdomen with systemic toxicity and on radiographs/CT scans demonstrating gas bubbles within the stomach wall. Only by prompt diagnosis and treatment can mortality be avoided. Clinical Picture: We present a 51-year-old African American female who developed severe abdominal pain following exploration of femoral artery for a repair of pseudoaneurysm. CT scans revealed linear gas densities within the thickened gastric wall and portal venous air. Treatment: The patient was started on broad-spectrum antibiotics and taken to the operating room for exploration, and she underwent a total gastrectomy with Roux-en-Y esophageal jejunostomy reconstruction. Outcome: She responded well and was discharged home. Conclusion: The optimal therapy has not been defined; however, antimicrobial chemotherapy and surgery, when appropriate, may improve survival rates., Case report A 51-year-old African American female, who is a severe vasculopath, presented with progressive claudication and rest pain to both legs. She underwent a CT angiogram which revealed severe [...]
- Published
- 2010