Medical Management of Emphysematous Gastritis
A 95-year-old man presented to the hospital with altered mental status, sepsis, and coffee-ground emesis. His chest radiograph showed gas along the lesser curvature of the stomach, prompting abdominal computed tomography, which demonstrated intramural gastric air. This patient's clinical presen...
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| Format: | Article |
| Language: | English |
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American College of Physicians
2023-01-01
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| Series: | Annals of Internal Medicine: Clinical Cases |
| Online Access: | https://www.acpjournals.org/doi/10.7326/aimcc.2022.0799 |
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| _version_ | 1850198047282167808 |
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| author | Farshad Ghasemi Iain Kirkpatrick Aditya Sharma |
| author_facet | Farshad Ghasemi Iain Kirkpatrick Aditya Sharma |
| author_sort | Farshad Ghasemi |
| collection | DOAJ |
| description | A 95-year-old man presented to the hospital with altered mental status, sepsis, and coffee-ground emesis. His chest radiograph showed gas along the lesser curvature of the stomach, prompting abdominal computed tomography, which demonstrated intramural gastric air. This patient's clinical presentation and computed tomography findings were suggestive of emphysematous gastritis (EG). He was successfully managed with an intravenous proton-pump inhibitor and broad-spectrum antibiotics. Details of the case are presented to encourage the early diagnosis of EG, which may make conservative management more successful. |
| format | Article |
| id | doaj-art-232d64205af942e0b10bb725464daef6 |
| institution | OA Journals |
| issn | 2767-7664 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | American College of Physicians |
| record_format | Article |
| series | Annals of Internal Medicine: Clinical Cases |
| spelling | doaj-art-232d64205af942e0b10bb725464daef62025-08-20T02:12:58ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642023-01-012110.7326/aimcc.2022.0799Medical Management of Emphysematous GastritisFarshad Ghasemi0Iain Kirkpatrick1Aditya Sharma21Department of Internal Medicine, University of Manitoba, St. Boniface Hospital, Winnipeg, Manitoba, Canada2Department of Diagnostic Radiology, University of Manitoba, St. Boniface Hospital, Winnipeg, Manitoba, Canada1Department of Internal Medicine, University of Manitoba, St. Boniface Hospital, Winnipeg, Manitoba, CanadaA 95-year-old man presented to the hospital with altered mental status, sepsis, and coffee-ground emesis. His chest radiograph showed gas along the lesser curvature of the stomach, prompting abdominal computed tomography, which demonstrated intramural gastric air. This patient's clinical presentation and computed tomography findings were suggestive of emphysematous gastritis (EG). He was successfully managed with an intravenous proton-pump inhibitor and broad-spectrum antibiotics. Details of the case are presented to encourage the early diagnosis of EG, which may make conservative management more successful.https://www.acpjournals.org/doi/10.7326/aimcc.2022.0799 |
| spellingShingle | Farshad Ghasemi Iain Kirkpatrick Aditya Sharma Medical Management of Emphysematous Gastritis Annals of Internal Medicine: Clinical Cases |
| title | Medical Management of Emphysematous Gastritis |
| title_full | Medical Management of Emphysematous Gastritis |
| title_fullStr | Medical Management of Emphysematous Gastritis |
| title_full_unstemmed | Medical Management of Emphysematous Gastritis |
| title_short | Medical Management of Emphysematous Gastritis |
| title_sort | medical management of emphysematous gastritis |
| url | https://www.acpjournals.org/doi/10.7326/aimcc.2022.0799 |
| work_keys_str_mv | AT farshadghasemi medicalmanagementofemphysematousgastritis AT iainkirkpatrick medicalmanagementofemphysematousgastritis AT adityasharma medicalmanagementofemphysematousgastritis |