Document Detail

Emphysematous Gastritis with Delayed Gastric Perforation.
MedLine Citation:
PMID:  23307314     Owner:  NLM     Status:  Publisher    
INTRODUCTION: Emphysematous gastritis (EG) is a rare infection of the stomach caused by gas-producing organisms. It is often associated with high mortality, and operative intervention is avoided unless medical management fails to control sepsis, or patients develop gastric perforation. DISCUSSION: We present the case of a 24-year-old female with poorly controlled diabetes who presented with persistent vomiting and severe hyperglycemia. Prompt diagnosis of EG was obtained when computed tomography of the abdomen revealed gas throughout her stomach wall and portal venous system. She was treated with antibiotics, bowel rest, and close observation. The patient returned with contained gastric perforation and was successfully managed without surgery. This case demonstrates that delayed gastric perforation as a complication of EG can be successfully managed without surgery, and in selected cases, gastric perforation is not an absolute indication for surgery.
Blair A Wormer; Gamal Mostafa
Related Documents :
23204714 - Robot assisted laparoscopic repair of sciatic hernia (rash): a case report.
22433934 - Laparoscopic sleeve gastrectomy in obese adolescents: results in 51 patients.
22616954 - Preoperative six-minute walking distance does not predict pulmonary complications in up...
24967504 - An alternative method for lateral sinus approach with trephine design bur: a clinical r...
24857854 - Early aortic repair worsens concurrent traumatic brain injury.
11869644 - Disposable surgical face masks for preventing surgical wound infection in clean surgery.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-10
Journal Detail:
Title:  Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract     Volume:  -     ISSN:  1873-4626     ISO Abbreviation:  J. Gastrointest. Surg.     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-11     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9706084     Medline TA:  J Gastrointest Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Department of General Surgery, Carolinas Medical Center, 1025 Morehead Medical Drive, Suite 300, Charlotte, 28203, NC, USA,
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Metal-Free Cross-Dehydrogenative Coupling of Heterocycles with Aldehydes.
Next Document:  Phytotherapeutic Management of Polycystic Ovary Syndrome: Role of Aerial Parts of Wood Betony (Stach...