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Case Report
Gastric emphysema or emphysematous gastritis? A diagnostic dilemma: A case that failed conservative management
1 Associate Lecturer, General Surgical Department, University of Queensland, Queensland, Australia
2 General Surgeon, General Surgical Department, Queensland, Australia
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Bertrand Ng Ren Joon
116, Water Street, South Toowoomba, Queensland 4350,
Australia
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Article ID: 100068Z12BJ2020
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How to cite this article
Joon BNR, Subramanian P. Gastric emphysema or emphysematous gastritis? A diagnostic dilemma: A case that failed conservative management. J Case Rep Images Surg 2020;6:100068Z12BJ2020.ABSTRACT
Introduction: Intramural gas within stomach wall on computed tomography (CT) scan can appear quite daunting for clinicians who have not dealt with it before. Management because of its rare entity and different etiology can pose difficulty to clinician. The two main groups: emphysematous gastritis and gastric emphysema though similar in name can vary greatly in management and prognosis.
Case Report: I present a case of an 83-year-old woman who presented to Emergency Department (ED) post-endoscopic retrograde cholangiopancreatography (ERCP) two months with a CT showing intramural gas within stomach wall, though she refused for any intervention to be done and, hence, we were not able to reach a conclusive diagnosis, the case did pose a few questions regarding the dilemma in getting to the diagnosis.
Conclusion: Nevertheless, we would still recommend guidance from clinical presentation, biochemical parameter, imaging, monitoring the patient regularly, being vigilant, and aware of the potential complication that could arise and offering early intervention to the patient on a case by case basis.
Keywords: Emphysematous gastritis, Gastric emphysema, Intramural gas, post-ERCP, Stomach wall
SUPPORTING INFORMATION
Author Contributions
Bertrand Ng Ren Joon - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Pradeep Subramanian - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
AcknowledgmentsUniversity of Queensland, Australia.
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2020 Bertrand Ng Ren Joon et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
