TY - JOUR
T1 - Intramural gas in stomach along with acute calculus cholecystitis
T2 - An unusual association
AU - Naqvi, Zohaib Gulzar
AU - Shahzad, Noman
AU - Alvi, Abdul Rehman
AU - Effendi, Shahrukh
PY - 2013
Y1 - 2013
N2 - Intramural gas in stomach is a rare finding, but differential diagnosis of this condition into gastric emphysema and emphysematous gastritis is clinically important because of vastly different aetiologies and prognosis. Emphysematous gastritis is caused by gas producing micro-organisms inside the stomach wall and is a potentially fatal condition, while, on the other hand, gas enters stomach wall through mucosal breach in the case of gastric emphysema and prognosis is usually good with complete resolution. To date, no case has been reported in the literature showing gas in the stomach wall in a patient with acute calculus cholecystitis. We present a case of a young man with upper abdominal pain, and who, upon diagnostic work up was diagnosed with acute calculus cholecystitis with associated intramural gas in the stomach with no known aetiological factors to be positive. Conservative management with close observation resulted in complete symptomatic resolution.
AB - Intramural gas in stomach is a rare finding, but differential diagnosis of this condition into gastric emphysema and emphysematous gastritis is clinically important because of vastly different aetiologies and prognosis. Emphysematous gastritis is caused by gas producing micro-organisms inside the stomach wall and is a potentially fatal condition, while, on the other hand, gas enters stomach wall through mucosal breach in the case of gastric emphysema and prognosis is usually good with complete resolution. To date, no case has been reported in the literature showing gas in the stomach wall in a patient with acute calculus cholecystitis. We present a case of a young man with upper abdominal pain, and who, upon diagnostic work up was diagnosed with acute calculus cholecystitis with associated intramural gas in the stomach with no known aetiological factors to be positive. Conservative management with close observation resulted in complete symptomatic resolution.
UR - http://www.scopus.com/inward/record.url?scp=84878648540&partnerID=8YFLogxK
U2 - 10.1136/bcr-2012-007757
DO - 10.1136/bcr-2012-007757
M3 - Article
AN - SCOPUS:84878648540
SN - 1757-790X
JO - BMJ Case Reports
JF - BMJ Case Reports
ER -