Gastric emphysema or emphysematous gastritis? A diagnostic dilemma: A case that failed conservative management

2020 ◽  
2014 ◽  
Vol 96 (7) ◽  
pp. e11-e13 ◽  
Author(s):  
A Misro ◽  
H Sheth

Emphysematous gastritis and gastric emphysema remain the two most important differential diagnoses of intramural gastric air bubbles, both differing vastly in their clinical presentation, radiographic findings, management and prognosis. This report discusses a case of gastric emphysema along with the importance of reaching an accurate clinical diagnosis early in the disease course.


2019 ◽  
Vol 02 (02) ◽  
pp. 151-154
Author(s):  
Amit Kumar Paliwal ◽  
Sachin Girdhar ◽  
Somali Pattanayak ◽  
Brajesh Kumar

AbstractPresence of air in the wall of the stomach is known as gastric pneumatosis. It may be associated with a benign condition like gastric emphysema (GE) to life threatening condition emphysematous gastritis (EG). Differentiation between two entities based on clinical presentation, predisposing factors, and radiological findings is important as EG has more complications and higher rates of mortality. The treatment in GE is conservative while treatment in EG is evolving. We present a case of a diabetic patient who developed EG following abdominal surgery and managed conservatively with favorable outcome.


2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Suhail Aslam Khan ◽  
Edmond Boko ◽  
Haseeb Anwar Khookhar ◽  
Sheila Woods ◽  
A. H. Nasr

Acute gastric dilatation is a rare entity, with varying aetiologies the majority of which are benign. Delay in diagnosis and treatment could result in sequelae such as gastric emphysema (pneumatosis), emphysematous gastritis, gangrene, and perforation. Gastric emphysema as a result of a benign nongangrenous condition such as gastroparesis, adynamic ileus can be successfully managed conservatively. Here, we present an interesting case of acute gastric dilatation resulting in gastric emphysema following massive postpartum hemorrhage.


2017 ◽  
Vol 112 ◽  
pp. S1439
Author(s):  
Amirali Kiyani ◽  
Mark Sabin ◽  
Keng-Yu Chuang

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Guillermo López-Medina ◽  
Roxana Castillo Díaz de León ◽  
Alberto Carlos Heredia-Salazar ◽  
Daniel Ramón Hernández-Salcedo

The finding of gas within the gastric wall is not a disease by itself, rather than a sign of an underlying condition which could be systemic or gastric. We present the case of a woman identified with gastric emphysema secondary to the administration of high doses of steroids, with the purpose of differentiating emphysematous gastritis versus gastric emphysema due to the divergent prognostic implications. Gastric emphysema entails a more benign course, opposed to emphysematous gastritis which often presents as an acute abdomen and carries a worse prognosis. Owing to the lack of established diagnostic criteria, computed tomography is the assessment method of choice. Currently no guidelines are available for the management of this entity, since the evidence is limited to a few case series and a considerable number of single case reports.


2015 ◽  
pp. bcr2015211669 ◽  
Author(s):  
Ceen-Ming Tang ◽  
Shadi S Yarandi ◽  
William Harlan Laxton ◽  
Mouen A Khashab

2011 ◽  
Vol 9 (4) ◽  
pp. e30 ◽  
Author(s):  
Alberto Arezzo ◽  
Federico Famiglietti ◽  
Domenica Garabello ◽  
Mario Morino

2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
N. K. Magu ◽  
Amanpreet Singh ◽  
Reetadyuti Mukhopadhyay ◽  
Jitendra Wadhwani ◽  
Paritosh Gogna ◽  
...  

Introduction. Although fractures of humeral shaft show excellent results with conservative management, nonunion does occur.Case Report. We bring forth the case of a young male with a 1.5-year-old hypertrophic nonunion of the humerus mimicking an enchondroma. The initial X-ray images of the patient appeared to be an enchondroma, which only on further evaluation and histopathological analysis was diagnosed conclusively to be a hypertrophic nonunion.Discussion. Enchondromas are often incidentally diagnosed benign tumours. It is however not common to misdiagnose a hypertrophic nonunion to be an enchondroma. We present this case to highlight the unique diagnostic dilemma the treating team had to face.


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