Academic Journals Database
Disseminating quality controlled scientific knowledge

Successful medical management of emphysematous gastritis with concomitant portal venous air: a case report

Author(s): Paul Manju | John Savio | Menon Madhav | Golewale Nazar | Weiss Stan | Murthy Uma

Journal: Journal of Medical Case Reports
ISSN 1752-1947

Volume: 4;
Issue: 1;
Start page: 140;
Date: 2010;
Original page

Abstract Introduction The causes of diffuse abdominal pain following pelvic surgery are numerous. We present a rare case of acute abdominal pain in a woman in the post-partum period. Case presentation A 25-year-old Caucasian woman with neurofibromatosis type 1 presented to our hospital with diffuse abdominal pain immediately after a cesarean section. The patient was acutely ill and toxic with a fever of 38.8°C, a pulse of 120 beats per minute and a distended abdomen with absent bowel sounds. A computed tomography scan showed air in the wall of the stomach and portal venous system. The patient was successfully treated with intravenous antibiotics, bowel rest and total parenteral nutrition. Conclusion It is rare for a case of emphysematous gastritis associated with portal venous air to be treated successfully without surgery. To the best of our knowledge, to date there has been no reported association of emphysematous gastritis with neurofibromatosis.
Why do you need a reservation system?      Affiliate Program