Emphysematous Gastritis and Portal Venous Gas

We present a rare case of emphysematous gastritis and portal venous gas triggered by severe sepsis, likely causing gastrointestinal hypoperfusion, transmural ischemia, and ileus. This condition facilitated the local translocation or hematogenous spread of gas-forming organisms into the gastric wall....

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Main Authors: Mohamed Abugrin, Kai Mebust
Format: Article
Language:English
Published: American College of Physicians 2024-12-01
Series:Annals of Internal Medicine: Clinical Cases
Online Access:https://www.acpjournals.org/doi/10.7326/aimcc.2024.0176
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author Mohamed Abugrin
Kai Mebust
author_facet Mohamed Abugrin
Kai Mebust
author_sort Mohamed Abugrin
collection DOAJ
description We present a rare case of emphysematous gastritis and portal venous gas triggered by severe sepsis, likely causing gastrointestinal hypoperfusion, transmural ischemia, and ileus. This condition facilitated the local translocation or hematogenous spread of gas-forming organisms into the gastric wall. Prompt identification of computed tomography findings and early initiation of therapy led to favorable outcomes. This case highlights a critical medical scenario that requires swift diagnosis and intervention.
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issn 2767-7664
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publisher American College of Physicians
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series Annals of Internal Medicine: Clinical Cases
spelling doaj-art-fb99d1ecaca94d4ebc3f1d02de91c95c2025-08-20T02:27:45ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642024-12-0131210.7326/aimcc.2024.0176Emphysematous Gastritis and Portal Venous GasMohamed Abugrin0Kai Mebust11Department of Internal Medicine, Bassett Medical Center, Cooperstown, New York1Department of Internal Medicine, Bassett Medical Center, Cooperstown, New YorkWe present a rare case of emphysematous gastritis and portal venous gas triggered by severe sepsis, likely causing gastrointestinal hypoperfusion, transmural ischemia, and ileus. This condition facilitated the local translocation or hematogenous spread of gas-forming organisms into the gastric wall. Prompt identification of computed tomography findings and early initiation of therapy led to favorable outcomes. This case highlights a critical medical scenario that requires swift diagnosis and intervention.https://www.acpjournals.org/doi/10.7326/aimcc.2024.0176
spellingShingle Mohamed Abugrin
Kai Mebust
Emphysematous Gastritis and Portal Venous Gas
Annals of Internal Medicine: Clinical Cases
title Emphysematous Gastritis and Portal Venous Gas
title_full Emphysematous Gastritis and Portal Venous Gas
title_fullStr Emphysematous Gastritis and Portal Venous Gas
title_full_unstemmed Emphysematous Gastritis and Portal Venous Gas
title_short Emphysematous Gastritis and Portal Venous Gas
title_sort emphysematous gastritis and portal venous gas
url https://www.acpjournals.org/doi/10.7326/aimcc.2024.0176
work_keys_str_mv AT mohamedabugrin emphysematousgastritisandportalvenousgas
AT kaimebust emphysematousgastritisandportalvenousgas