老年多合并症患者气肿性胃炎的成功保守治疗：一例报告
Successful conservative management of emphysematous gastritis in an elderly patient with multiple comorbidities: A case report.
作者信息
Alshahwan Nawaf, Alqarzaie Abdullah A, Aldeligan Saleh Husam, Alqusiyer Abdulaziz Abdulmuhsin, Alnumay Abdulaziz, Mashbari Hassan, Alkanhal Abdulaziz
机构信息
Trauma and Acute Care Surgery Unit, Department of Surgery, King Saud University, Riyadh 11416, Saudi Arabia.
Department of Surgery, King Saud University, Riyadh 11416, Saudi Arabia.
出版信息
World J Gastrointest Surg. 2025 Jul 27;17(7):107046. doi: 10.4240/wjgs.v17.i7.107046.
BACKGROUND
Emphysematous gastritis (EG) is a rare and serious condition that has fatal consequences. Although its clinical presentation is not specific, radiological imaging is characterized by intramural gastric gas. Defects in the stomach mucosal barrier and invasion of gas-producing organisms are believed to be the cause.
CASE SUMMARY
An 88-year-old male with multiple comorbidities presented to our center with abdominal pain and increased stoma output as chief complaints. Upon further investigation he was found to have EG. Despite the high mortality risk without intervention, the patient and family declined operative intervention.
CONCLUSION
This case report underscored the challenges of managing a critically ill elderly patient with a history of multiple comorbidities and extensive abdominal surgeries and highlighted the successful use of conservative measures in treating EG.
背景
气肿性胃炎（EG）是一种罕见且严重的疾病，可导致致命后果。尽管其临床表现不具特异性，但影像学表现为胃壁内气体。胃黏膜屏障缺陷和产气微生物入侵被认为是病因。
病例摘要
一名患有多种合并症的88岁男性因腹痛和造口排出量增加为主诉前来我院。进一步检查发现他患有气肿性胃炎。尽管不进行干预死亡风险很高，但患者及其家属拒绝手术干预。
结论
本病例报告强调了管理一名患有多种合并症且有广泛腹部手术史的重症老年患者的挑战，并突出了保守措施在治疗气肿性胃炎中的成功应用。
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