Abstract
Gastric pneumatosis, air within the gastric wall, is a rare finding on imaging. Gastric pneumatosis is seen in both benign and life-threatening conditions. Emphysematous gastritis is a rare, and potentially life-threatening, form of gastritis. Early and effective non-operative management with bowel rest, nutritional support, intravenous hydration, and intravenous broad-spectrum antibiotics is a reasonable option for management of emphysematous gastritis. There is still no consensus and strict guidelines in management of emphysematous gastritis, but as this and a handful of other case reports show, immediate surgical intervention may not always be the answer.
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