AI Article Synopsis

  • Gastric emphysema and emphysematous gastritis are rare yet serious conditions where air enters the stomach wall, with emphysematous gastritis having a high fatality rate.
  • An 83-year-old woman developed gastric emphysema after recovering from septic shock and was treated for pseudogout, but later exhibited severe abdominal symptoms and a positive gastric juice culture.
  • The case emphasizes that ileus from fecal impaction can lead to gastric emphysema and highlights the need for regular bowel movement management to prevent such complications.

Article Abstract

Background: Gastric emphysema and emphysematous gastritis (EG) are rare diseases involving air being introduced into the stomach wall. Emphysematous gastritis is an infectious disease with a high fatality rate.

Case Presentation: An 83-year-old woman had recovered from septic shock, however, an antibiotic-refractory inflammatory response remained. She was diagnosed with pseudogout and administered a non-steroidal anti-inflammatory drug. However, abdominal pain, prominent abdominal distension, and strawberry milk-like gastric juice were recognized. Computed tomography showed ileus due to fecal impaction and GE. The results of culture of the gastric juice were positive ( and ). Disimpaction, fasting management, and antibacterial treatments resulted in the recovery of her symptoms.

Conclusion: This is the first case in which ileus associated with fecal impaction caused EG. The present case highlights the importance of promoting regular bowel movements.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9178389PMC
http://dx.doi.org/10.1002/ams2.759DOI Listing

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