Role Of Conservative Management In Emphysematous Gastritis

BMJ Case Rep. 2018 Feb 23:2018:bcr2017222118. doi: 10.1136/bcr-2017-222118.

Abstract

Emphysematous gastritis (EG) is a rare disease of the stomach that is caused by gas-forming bacteria, and it can be lethal. There have been <70 reported cases in the English literature of this disease which carries a mortality rate up to 60%. Early recognition and treatment through conservative management have been a popular and successful choice in today's medicine. Studies have shown that surgical intervention does not confer a statistical benefit on mortality in this condition. We present another case of EG in a 33-year-old woman who was successfully managed conservatively.

Keywords: endoscopy; gastroenterology; stomach and duodenum; surgery.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anti-Bacterial Agents / therapeutic use
  • Conservative Treatment / methods*
  • Emphysema / complications*
  • Emphysema / diagnostic imaging
  • Emphysema / therapy*
  • Female
  • Fluid Therapy / methods
  • Gastric Mucosa / diagnostic imaging
  • Gastritis / complications*
  • Gastritis / diagnostic imaging
  • Gastritis / therapy*
  • Humans
  • Penicillanic Acid / analogs & derivatives
  • Penicillanic Acid / therapeutic use
  • Piperacillin / therapeutic use
  • Piperacillin, Tazobactam Drug Combination
  • Tomography, X-Ray Computed
  • Vancomycin / therapeutic use

Substances

  • Anti-Bacterial Agents
  • Piperacillin, Tazobactam Drug Combination
  • Vancomycin
  • Penicillanic Acid
  • Piperacillin