Lin C Y, Lee C S, Lin D Y, Hong C F, Jan Y Y, Lin P Y, Chen P C, Wu C S
Department of Hepato-Gastroenterology, Chang Gung Medical College, Taipei, Taiwan.
J Gastroenterol Hepatol. 1995 Sep-Oct;10(5):612-5. doi: 10.1111/j.1440-1746.1995.tb01356.x.
Emphysematous gastritis is a life-threatening disease. Although rare in incidence, it has a fulminating course with a high mortality rate. A case of a 58 year old male with emphysematous gastritis is reported. Initially, he presented with acute gastric dilatation secondary to anorexia/bulimia-like behaviour. Later, emphysematous gastritis developed. The abdominal sonographic findings, which have not been previously described in the literature, showed intramural gas and gastric wall thickening. After receiving a total gastrectomy, he had a satisfactory outcome. The present report discusses the possible aetiologic relationship between acute gastric dilatation and emphysematous gastritis, and suggests abdominal sonography to be the first choice of diagnostic measure for patients and the intramural gas in the gastric wall. This is the first case of emphysematous gastritis diagnosed by abdominal sonography.
气肿性胃炎是一种危及生命的疾病。尽管发病率很低，但病情发展迅猛，死亡率很高。本文报告了一例58岁男性气肿性胃炎患者。起初，他因类似神经性厌食/贪食行为继发急性胃扩张。后来，气肿性胃炎发展起来。腹部超声检查结果（此前文献中未作描述）显示胃壁内气体及胃壁增厚。接受全胃切除术后，他恢复良好。本报告讨论了急性胃扩张与气肿性胃炎之间可能的病因关系，并建议腹部超声检查作为患者的首选诊断方法以及检测胃壁内气体的方法。这是首例通过腹部超声检查诊断出气肿性胃炎的病例。
