A rare cause of acute abdomen: A case report of emphysematous gastritis

Authors

  • Rosa Juana Tejera-Pérez Internal Medicine Department, Complejo Asistencial Universitario de Salamanca (CAUSA), Salamanca, Spain https://orcid.org/0000-0001-5361-8099
  • María Mercedes Martín-Ordiales Internal Medicine Department, Complejo Asistencial Universitario de Salamanca (CAUSA), Salamanca, Spain
  • Sandra María Inés-Revuelta Internal Medicine Department, Complejo Asistencial Universitario de Salamanca (CAUSA), Salamanca, Spain

DOI:

https://doi.org/10.32818/reccmi.a7n3a7

Keywords:

emphysematous gastritis, intraabdominal infection, bacterial infection, acute abdomen

Abstract

Emphysematous or phlegmonous gastritis is a rare and life-threatening bacterial infection caused by gas-producing bacteria that infiltrate the mucosa of the digestive tract. We present the case of a 90 years old man who was admitted with gut-origin sepsis, and a physical examination revealed an acute abdomen. Broad-spectrum antibiotic treatment is started, not being a candidate for surgery, with an unfavourable clinical response. This description aims to illustrate a poorly documented disease to improve the management of patients with this diagnosis.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Cortes-Berenque F, Salceda-Otero JC, Angulo-Molina D, Lozoya-González D. Acute phlegmonous gastritis. Rev Gastroenterol Mex. 2014; 79(4): 299-301. doi: https://doi.org/10.1016/j.rgmx.2014.07.003 DOI: https://doi.org/10.1016/j.rgmxen.2014.11.001

Garrosa-Muñoz S, López-Sánchez J, Muñoz-Bellvis L. Gastric emphysema and emphysematic gastritis, apparently similar entities with very different treatment. Gastroenterol Hepatol. 2020; S0210-5705(20)30367-8. doi: https://doi.org/10.1016/j.gastrohep.2020.07.022 DOI: https://doi.org/10.1016/j.gastre.2020.07.010

Zamora-Elson M, Labarta-Monzón L, Escos-Orta J, Cambra-Fierro P, Vernal-Monteverde V, Seron-Arbeloa C. Gastritis enfisematosa, eficacia del tratamiento con antibioterapia precoz. Gastroenterol Hepatol. 2016; 39(6): 393-395. doi: https://doi.org/10.1016/j.gastrohep.2015.05.008 DOI: https://doi.org/10.1016/j.gastrohep.2015.05.008

Shibata M, Tsuchiya A, Nishikawa K. Emphysematous gastritis. Oxf Med Case Reports. 2020(12): omaa114. doi: https://doi.org/10.1093/omcr/omaa114 DOI: https://doi.org/10.1093/omcr/omaa114

Nasir M, Chango J, DiSiena MS, et al. Emphysematous gastritis. Am J Gastroenterol. 2020; 115(1): S1590. doi: https://doi.org/10.14309/01.ajg.0000714120.22638.34 DOI: https://doi.org/10.14309/01.ajg.0000714120.22638.34

Curelli J, Fridenberg G, Cereceda S, García-Saiz J. Enfisema gástrico benigno vs. gastritis enfisematosa. Rev HPC. 2004; 7(1): 1-4. Accesible en: https://hpc.org.ar/wp-content/uploads/346-v7n1p43.pdf (último acceso oct. 2022)

Sifuentes-Pastor F, Moctezuma-Velázquez J, Aguilar-Frasco J. Neumatosis gástrica: espectro de enfermedad. Rev Gastroenterol. Mex. 2020; 85(2): 219-220. doi: https://doi.org/10.1016/j.rgmx.2019.05.001 DOI: https://doi.org/10.1016/j.rgmx.2019.05.001

Published

2022-12-28

How to Cite

1.
Tejera-Pérez RJ, Martín-Ordiales MM, Inés-Revuelta SM. A rare cause of acute abdomen: A case report of emphysematous gastritis. Rev Esp Casos Clin Med Intern [Internet]. 2022 Dec. 28 [cited 2024 Nov. 23];7(3):21-4. Available from: https://www.reccmi.com/RECCMI/article/view/728