Air in the gastric wall of a patient with AIDS
Emphysematous gastritis is a rare infection of the gastric wall with 55%-60% mortality. A 44-year-old man with AIDS, hepatitis C, and intravenous drug use presented with a 1-day history of acute-onset abdominal pain, nausea, and nonbloody, nonbilious emesis. On examination, he was afebrile without o...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2017-09-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S193004331630423X |
| _version_ | 1819208502483091456 |
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| author | Jamie Yao, BS Juliet Morgan, MD Joshua Brotman, MD |
| author_facet | Jamie Yao, BS Juliet Morgan, MD Joshua Brotman, MD |
| author_sort | Jamie Yao, BS |
| collection | DOAJ |
| description | Emphysematous gastritis is a rare infection of the gastric wall with 55%-60% mortality. A 44-year-old man with AIDS, hepatitis C, and intravenous drug use presented with a 1-day history of acute-onset abdominal pain, nausea, and nonbloody, nonbilious emesis. On examination, he was afebrile without other vital sign abnormalities. He had epigastric abdominal tenderness without rebound or guarding. The peripheral-blood leukocyte count was elevated to 12.8 with 93.8% neutrophils. The patient's clinical presentation markedly improved with IV fluids and broad-spectrum antibiotic therapy. His presentation and radiologic findings, including gastric intramural air and air in the portal vein, are consistent with emphysematous gastritis. Conservative management is first-line for milder cases of emphysematous gastritis. Exploratory laparotomy and total gastrectomy are indicated only in severe cases such as transmural ischemia and peritonitis. Immune-compromised status is a predisposing factor and associated with subtler findings than the classic dramatic clinical presentation. |
| first_indexed | 2024-12-23T05:40:24Z |
| format | Article |
| id | doaj.art-8ea27b807be949b6be7313dd718e4fca |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-12-23T05:40:24Z |
| publishDate | 2017-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-8ea27b807be949b6be7313dd718e4fca2022-12-21T17:58:11ZengElsevierRadiology Case Reports1930-04332017-09-0112349149310.1016/j.radcr.2017.03.015Air in the gastric wall of a patient with AIDSJamie Yao, BS0Juliet Morgan, MD1Joshua Brotman, MD2School of Medicine, University of California, 505 Parnassus Ave., San Francisco, San Francisco, CA 94143, USADepartment of Neurology, University of California, San Francisco, San Francisco, CA, USADivision of Hospital Medicine, Sidney Kimmel Medical College of Thomas Jefferson University, Philadelphia, PA, USAEmphysematous gastritis is a rare infection of the gastric wall with 55%-60% mortality. A 44-year-old man with AIDS, hepatitis C, and intravenous drug use presented with a 1-day history of acute-onset abdominal pain, nausea, and nonbloody, nonbilious emesis. On examination, he was afebrile without other vital sign abnormalities. He had epigastric abdominal tenderness without rebound or guarding. The peripheral-blood leukocyte count was elevated to 12.8 with 93.8% neutrophils. The patient's clinical presentation markedly improved with IV fluids and broad-spectrum antibiotic therapy. His presentation and radiologic findings, including gastric intramural air and air in the portal vein, are consistent with emphysematous gastritis. Conservative management is first-line for milder cases of emphysematous gastritis. Exploratory laparotomy and total gastrectomy are indicated only in severe cases such as transmural ischemia and peritonitis. Immune-compromised status is a predisposing factor and associated with subtler findings than the classic dramatic clinical presentation.http://www.sciencedirect.com/science/article/pii/S193004331630423XEmphysematous gastritisGastric pneumatosis |
| spellingShingle | Jamie Yao, BS Juliet Morgan, MD Joshua Brotman, MD Air in the gastric wall of a patient with AIDS Radiology Case Reports Emphysematous gastritis Gastric pneumatosis |
| title | Air in the gastric wall of a patient with AIDS |
| title_full | Air in the gastric wall of a patient with AIDS |
| title_fullStr | Air in the gastric wall of a patient with AIDS |
| title_full_unstemmed | Air in the gastric wall of a patient with AIDS |
| title_short | Air in the gastric wall of a patient with AIDS |
| title_sort | air in the gastric wall of a patient with aids |
| topic | Emphysematous gastritis Gastric pneumatosis |
| url | http://www.sciencedirect.com/science/article/pii/S193004331630423X |
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