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Case Reports in Surgery
Volume 2011 (2011), Article ID 587198, 3 pages
http://dx.doi.org/10.1155/2011/587198
Case Report

Multiply Recurrent Episodes of Gastric Emphysema

1Division of Minimally Invasive and Bariatric Surgery, Penn State Hershey Milton S. Medical Center and Penn State College of Medicine, Hershey, PA 17033, USA
2Department of Gastroenterology and Hepatology, Penn State Milton S. Hershey Medical Center and Penn State College of Medicine, Hershey, PA 17033, USA

Received 7 June 2011; Accepted 7 August 2011

Academic Editor: T. Çolak

Copyright © 2011 Eric M. Pauli 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

Introduction. Gastric emphysema can present both a diagnostic challenge and a life-threatening condition for patients and has only once been reported as being recurrent. Background. A 64-year-old male presented with chronic abdominal pain and was found to have gastric pneumatosis on CT scan. The patient was successfully managed conservatively. The cause was attributed to aberrant arterial anatomy and atherosclerosis along with hypotension. The patient has since had 3 episodes of recurrent gastric emphysema, all managed nonoperatively. Discussion. To our knowledge, this is the first case of both serial episodes of gastric pneumatosis and gastric mucosal ischemia as a precipitating factor for the development of gastric emphysema.