Emphysematous Gastritis: An Ominous Diagnosis Managed Conservatively
نویسندگان
چکیده
A 54-year-old female with HIV, diabetes, and chronic obstructive pulmonary disease (COPD) presented with altered mental status, diabetic ketoacidosis, nonspecific gastrointestinal symptoms, and a buttock abscess. Initial abdominal and pelvic computed tomography (CT) without contrast demonstrated a small pericardial effusion, air in the gastric wall, and perianal abscess. Amid worsening leukocytosis (22.500/mm3), a wide excisional debridement of abscess was performed and later repeated. CT angiography of the chest demonstrated a markedly distended stomach with small amount of portal venous air (Figure 1). Abdominal X-ray of the kidney, ureters, and bladder (KUB) demonstrated a distended stomach with wall emphysema and gas collection within the gluteal region (Figure 2). Esophagogastroduodenoscopy (EGD) revealed black eschars and
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