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.