Ko Geun Jun, Park Koung Suk, Park Tae Woon, Woo Meung Yeul, Han Ki Jun, Lee Sang Cheul, Cho Jae Hee
Department of Internal Medicine, Myongji Hospital, Kwandong University College of Medicine, Goyang, Korea.
Korean J Gastroenterol. 2011 Jul;58(1):38-41. doi: 10.4166/kjg.2011.58.1.38.
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.
