Adam Mohammad, Evans Aron, Mohamed Islam, Jaber Fouad, Patel Nisha, Roman Alexandra, Esmat Sadeddin
Department of Internal Medicine, University of Missouri-Kansas City, MO, USA.
Department of Gastroenterology & Hepatology, University of Missouri-Columbia, MO, USA.
J Investig Med High Impact Case Rep. 2025 Jan-Dec;13:23247096251365750. doi: 10.1177/23247096251365750. Epub 2025 Aug 13.
Emphysematous gastritis (EG) is a rare form of gastritis with a high mortality rate caused by gas-forming organisms that infect the stomach wall. Due to the rarity of the condition, no established management guidelines exist. Historically, surgical exploration was favored, but more recently, the management has shifted to a non-surgical approach with antibiotics, gastric decompression, and bowel rest. Here, we detail the case of a 55-year-old male with EG in which medical management alone led to the complete resolution of his illness without complication. This case supports the efficacy of a medical management strategy for EG and highlights the duration of empiric antibiotics, the role for gastric decompression, bowel rest, and parenteral nutrition, and may guide a future standardized approach to treatment.
气肿性胃炎（EG）是一种罕见的胃炎形式，由感染胃壁的产气微生物引起，死亡率很高。由于该病罕见，尚无既定的管理指南。从历史上看，倾向于进行手术探查，但最近，管理方式已转向采用抗生素、胃肠减压和肠道休息的非手术方法。在此，我们详细介绍一例55岁患气肿性胃炎的男性病例，该病例仅通过药物治疗即实现了疾病的完全缓解且无并发症。本病例支持气肿性胃炎药物治疗策略的有效性，并突出了经验性抗生素的使用时长、胃肠减压、肠道休息和肠外营养的作用，可能为未来的标准化治疗方法提供指导。
