Qasim Abeer, Penikelapate Shalini, Sosa Franklin, Jyala Abhilasha, Ghazanfar Haider, Patel Harish, Dev Anil
Internal Medicine, BronxCare Health System, New York, USA.
Internal Medicine, BronxCare Health System, Bronx, USA.
Cureus. 2023 Dec 12;15(12):e50409. doi: 10.7759/cureus.50409. eCollection 2023 Dec.
Emphysematous gastritis (EG) is a rare and life-threatening condition characterized by gas-forming microorganisms causing gas to accumulate within the stomach wall. It has a high mortality rate and is associated with risk factors like gastroenteritis, alcohol use disorder, diabetes mellitus, renal failure, recent abdominal surgery, long-term corticosteroid use, and ingestion of corrosive agents. Diagnosis is challenging due to its rarity and nonspecific symptoms, including severe abdominal pain, coffee-ground emesis, fever, and signs of systemic infection. We present two cases of patients with signs and symptoms of EG, where prompt diagnosis and treatment were achieved, avoiding further complications. Surgical intervention was avoided due to the successful response to conservative treatment. These cases highlight the importance of early detection and intervention in improving patient outcomes and preventing complications associated with EG.
气肿性胃炎（EG）是一种罕见且危及生命的疾病，其特征是产气微生物导致气体在胃壁内积聚。它具有很高的死亡率，并与诸如肠胃炎、酒精使用障碍、糖尿病、肾衰竭、近期腹部手术、长期使用皮质类固醇以及摄入腐蚀性物质等危险因素相关。由于其罕见性和非特异性症状，包括严重腹痛、咖啡渣样呕吐物、发热和全身感染迹象，诊断具有挑战性。我们报告了两例有气肿性胃炎体征和症状的患者，通过及时诊断和治疗，避免了进一步的并发症。由于对保守治疗反应成功，避免了手术干预。这些病例强调了早期检测和干预对于改善患者预后以及预防与气肿性胃炎相关并发症的重要性。
