Table of Contents Author Guidelines Submit a Manuscript
Case Reports in Gastrointestinal Medicine
Volume 2014, Article ID 891360, 5 pages
http://dx.doi.org/10.1155/2014/891360
Case Report

Gastric Emphysema a Spectrum of Pneumatosis Intestinalis: A Case Report and Literature Review

1Hospital Angeles Clinica Londres, Durango No. 50, Roma Norte, Cuauhtémoc, 06700 Ciudad de México, DF, Mexico
2Hospital Angeles Mocel, Gregorio V. Gelati 29, San Miguel Chapultepec, Miguel Hidalgo, 11850 Ciudad de México, DF, Mexico

Received 24 April 2014; Accepted 13 June 2014; Published 1 July 2014

Academic Editor: Haruhiko Sugimura

Copyright © 2014 Guillermo López-Medina 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

The finding of gas within the gastric wall is not a disease by itself, rather than a sign of an underlying condition which could be systemic or gastric. We present the case of a woman identified with gastric emphysema secondary to the administration of high doses of steroids, with the purpose of differentiating emphysematous gastritis versus gastric emphysema due to the divergent prognostic implications. Gastric emphysema entails a more benign course, opposed to emphysematous gastritis which often presents as an acute abdomen and carries a worse prognosis. Owing to the lack of established diagnostic criteria, computed tomography is the assessment method of choice. Currently no guidelines are available for the management of this entity, since the evidence is limited to a few case series and a considerable number of single case reports.