A Case of Emphysematous Gastritis in a Patient with End-stage Renal Disease

Geun Jun Ko; Koung Suk Park; Tae Woon Park; Meung Yeul Woo; Ki Jun Han; Sang Cheul Lee; Jae Hee Cho

doi:10.4166/kjg.2011.58.1.38

Journal List > Korean J Gastroenterol > v.58(1) > 1006898

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Ko, Park, Park, Woo, Han, Lee, and Cho: A Case of Emphysematous Gastritis in a Patient with End-stage Renal Disease

Case Report

Korean J Gastroenterol 2011;58(1):38-41.

Published online: 4 October 2011

DOI: https://doi.org/10.4166/kjg.2011.58.1.38

A Case of Emphysematous Gastritis in a Patient with End-stage Renal Disease

Geun Jun Ko, Koung Suk Park, Tae Woon Park, Meung Yeul Woo, Ki Jun Han, Sang Cheul Lee, Jae Hee Cho

Department of Internal Medicine, Myongji Hospital, Kwandong University College of Medicine, Goyang, Korea

Correspondence to: Jae Hee Cho, Department of Internal Medicine, Kwandong University Myongji Hospital, 697-24, Hwajeong dong, Deogyang-gu, Goyang 412-270, Korea. Tel: +82-31-810-5413, Fax: +82-31-969-0500, E-mail: jhcho9328@kd.ac.kr

Received 20 July 20105 October 2010 Accepted 5 October 2010

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Emphysematous gastritis is a rare infection of the stomach wall with high mortality rate. It is caused by gas forming organisms and may arise by local spread through the mucosa or hematogenous dissemination from distant focus. Clinical manifestation includes acute abdomen with systemic toxicity, and diagnosis is based on radiologic demonstration of gas within the gastric wall. Treatment should be aimed to cover gram-negative organisms and anaerobes using wide-spectrum intravenous antibiotics, and sometimes surgical management may be needed in order to enhance survival. Herein, we report a case of emphysematous gastritis in a patient with end stage renal disease on hemodialysis.

Keywords: Emphysematous gastritis, End-stage renal disease, Hemodialysis

References

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Fig. 1.

Abdominal x-ray and CT scan findings. (A) Gas was noted in the wall of the dilated stomach. (B, C) The wall of the stomach had irregular mottled gas (arrow).

Fig. 2.

Endoscopic findings. (A) The gastric mucosa of antrum had inflammation and covered with gastritis and dirty discharges. (B, C) No evidence of ulcer and necrosis at the fundus and body of the stomach was noted.

Fig. 3.

Abdominal x-ray and CT scan findings (follow up). (A) The stomach gas was decreased. (B, C) The gastric wall became not remarkable.

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