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Case Reports in Hepatology
Volume 2013 (2013), Article ID 106383, 4 pages
http://dx.doi.org/10.1155/2013/106383
Case Report

Surviving Emphysematous Gastritis after Hepatectomy

1Department of Surgery, The University of Hong Kong, 102 Pokfulam Road, Hong Kong
2Department of Surgery, Queen Mary Hospital, The University of Hong Kong, 102 Pokfulam Road, Hong Kong

Received 24 January 2013; Accepted 25 February 2013

Academic Editors: R. T. Marinho, Y. Sugawara, and H. Uchiyama

Copyright © 2013 Harry Hok Yee Yu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Emphysematous gastritis is a rare variant of phlegmonous gastritis due to invasion of stomach wall by gas-forming bacteria. It is characterised by abnormal presence of gas in the stomach by imaging, in association with clinical sepsis. Patients suffering from this condition usually present with an underlying pathology. We are reporting a middle-aged Chinese male with hepatitis B virus related hepatocellular carcinoma. He underwent partial hepatectomy and was diagnosed with emphysematous gastritis 4 days after index operation. Emergency laparotomy, including upper endoscopy, was performed. He was managed with antibiotics and discharged 18 days after second operation. This paper shows a review of the literature about the disease, with particular attention to pathology, clinical features, and management.