A Comprehensive Case of Emphysematous Gastritis in A Young Patient-Case Report

Abstract

Gastric emphysema is caused by traumatic mucosal injury. A rare condition called emphysematous gastritis is characterized by intramural gas in the stomach and symptoms of systemic poisoning. It has a mortality rate of between 45% and 60%, thus early diagnosis and rapid treatment, such as fluid resuscitation, nil by mouth, broad-spectrum antibiotics, and bowel rest, are essential to halting the spread of this lethal condition. Surgery is only recommended in cases of stomach perforation. Rare and severe, emphysematous gastritis is characterized by indications of systemic poisoning and air in the stomach wall. It is often brought on by a mucosal defect that allows gas-forming organisms to infect the area, or by hematogenous dissemination from a distant centre. Emphysematous gastritis has a fulminant course, and a 60% death rate, thus early diagnosis and treatment are essential. Here we describe a case of a 17-year-old guy who complained of stomach pain; a CT scan revealed emphysematous gastritis, which is compatible with the diagnosis. Antibiotics were administered to him, and he recovered quickly. It is associated with good prognosis. Keywords: Emphysematous Gastritis; NSAIDS; Ulcer; Gastric Emphysema; Pathophysiology; Ischemic Injury