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Case Reports in Medicine
Volume 2015, Article ID 413230, 4 pages
Case Report

Vomiting-Induced Gastric Emphysema and Hepatoportal Venous Gas: A Case Report and Review of the Literature

1Division of Gastroenterology and Hepatology, Department of Internal Medicine, Presence Saint Francis Hospital, Evanston, IL 60202, USA
2Department of Gastroenterology and Hepatology, Georgia Regents University, Augusta, GA 30912, USA
3Department of Radiology, Presence Saint Francis Hospital, Evanston, IL 60202, USA

Received 2 December 2014; Accepted 2 February 2015

Academic Editor: Gerald S. Supinski

Copyright © 2015 Malav P. Parikh 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.


Gastric pneumatosis is the presence of air within the wall of the stomach. It represents a spectrum of conditions ranging from benign disease to septic shock and death. Etiopathologically, it can be classified into emphysematous gastritis or gastric emphysema (GE). Along with hepatoportal venous gas (HPVG), it was considered as an ominous radiological sign and warranted an emergent surgical exploration; however, with widespread use of computerized tomographic (CT) scan, an increasing number of benign causes of GE and HPVG have been reported in the literature, where patients can be managed by noninvasive and conservative measures. We hereby describe a case where recurrent episodes of vomiting led to development of GE and HPVG and the patient was managed successfully by conservative measures.