Ocepek A, Skok P, Virag M, Kamenik B, Horvat M
Medical Department, Maribor Teaching Hospital, Maribor, Slovenia.
Z Gastroenterol. 2004 Aug;42(8):735-8. doi: 10.1055/s-2004-813238.
Emphysematous gastritis is a rare form of phlegmonous gastritis caused by invasion of the stomach wall by gas-forming bacteria. This clinical entity was first described by Fraenkel in 1889. The authors report the case of a 58-year-old patient with end-stage renal failure under treatment with hemodialysis for the past year. He was admitted on account of pain in the lower abdomen. During the diagnostic procedure, emphysematous gastritis and acute cholecystitis were confirmed. An acute abdomen developed and an emergency laparotomy was performed. During the procedure, the necrotic gallbladder was removed. The patient died on the following day due to multiorgan failure and septic shock. According to the literature, emphysematous gastritis is generally a fatal disease. Air in the wall of the stomach is a rare finding with a broad differential diagnosis.
气肿性胃炎是一种罕见的蜂窝织炎性胃炎，由产气细菌侵入胃壁引起。这一临床实体于1889年由弗兰克尔首次描述。作者报告了一例58岁患者的病例，该患者在过去一年接受血液透析治疗，患有终末期肾衰竭。他因下腹部疼痛入院。在诊断过程中，确诊为气肿性胃炎和急性胆囊炎。出现了急腹症并进行了急诊剖腹手术。手术过程中，切除了坏死的胆囊。患者于次日因多器官功能衰竭和感染性休克死亡。根据文献，气肿性胃炎通常是一种致命疾病。胃壁内出现气体是一种罕见的发现，鉴别诊断范围广泛。
