Unexplained Portal Gas in a Patient with an Esophageal Ulcer
Joint Authors
Dutta, Sudhir
Gupta, Samiksha
Surapaneni, Balaram Krishna
Vinayek, Rakesh
Source
Case Reports in Gastrointestinal Medicine
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-12-10
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Emphysematous gastritis is the infection of gastric mucosa by gas producing microorganisms.
It is a rare infection with less than 100 cases reported in the literature.
The association of portal venous gas along with emphysematous gastritis is a rare entity.
The concomitant portal venous gas worsens the outcome and warrant for surgical treatment.
Our case has portal venous gas on CT scan along with suspicion of emphysematous gastritis and an esophageal ulcer on upper GI endoscopy.
Medical treatment was given in our case of portal venous gas with the esophageal ulcer.
Our case is unique because our patient responded to the conservative management.
The patient presented with past history of polysubstance abuse and chronic kidney disease presented with symptoms of acute abdomen.
CT scan revealed portal venous gas and suspicion of gastric emphysema.
In addition, few foci of gas are seen along the vessels traversing between the stomach and liver.
Endoscopy with gastric mucosa biopsy showed Candida albicans.
Subsequently, antifungals were started.
There was improvement in clinical condition of the patient.
We, hereby, also summarize all the reported cases of emphysematous gastritis with treatment and outcome in each case.
There has been change in trend from surgical to medical treatment.
American Psychological Association (APA)
Gupta, Samiksha& Surapaneni, Balaram Krishna& Vinayek, Rakesh& Dutta, Sudhir. 2018. Unexplained Portal Gas in a Patient with an Esophageal Ulcer. Case Reports in Gastrointestinal Medicine،Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1143425
Modern Language Association (MLA)
Gupta, Samiksha…[et al.]. Unexplained Portal Gas in a Patient with an Esophageal Ulcer. Case Reports in Gastrointestinal Medicine No. 2018 (2018), pp.1-7.
https://search.emarefa.net/detail/BIM-1143425
American Medical Association (AMA)
Gupta, Samiksha& Surapaneni, Balaram Krishna& Vinayek, Rakesh& Dutta, Sudhir. Unexplained Portal Gas in a Patient with an Esophageal Ulcer. Case Reports in Gastrointestinal Medicine. 2018. Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1143425
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1143425