Una causa infrecuente de abdomen agudo:reporte de un caso de gastritis enfisematosa

  1. Tejera-Pérez, Rosa Juana 1
  2. Martín-Ordiales, María Mercedes 1
  3. Inés-Revuelta, Sandra María 1
  1. 1 Servicio de Medicina Interna, Complejo Asistencial Universitario de Salamanca (CAUSA), Salamanca, España
Journal:
Revista Española de Casos Clínicos en Medicina Interna (RECCMI)

ISSN: 2530-0792

Year of publication: 2022

Issue Title: Spanish Journal of Clinical Cases in Internal Medicine

Volume: 7

Issue: 3

Pages: 21-24

Type: Article

DOI: 10.32818/RECCMI.A7N3A7 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Revista Española de Casos Clínicos en Medicina Interna (RECCMI)

Abstract

Emphysematous or phlegmonous gastritis is a rare and life-threatening bacterial infection caused by gas-producing bacteria that infiltrate the mucosa of the digestive tract. We present the case of a 90 years old man who was admitted with gut-origin sepsis, and a physical examination revealed an acute abdomen. Broad-spectrum antibiotic treatment is started, not being a candidate for surgery, with an unfavourable clinical response. This description aims to illustrate a poorly documented disease to improve the management of patients with this diagnosis.

Bibliographic References

  • Cortes-Berenque F, Salceda-Otero JC, Angulo-Molina D, Lozoya-González D. Acute phlegmonous gastritis. Rev Gastroenterol Mex. 2014; 79(4): 299-301. doi: https://doi.org/10.1016/j.rgmx.2014.07.003 DOI: https://doi.org/10.1016/j.rgmxen.2014.11.001
  • Garrosa-Muñoz S, López-Sánchez J, Muñoz-Bellvis L. Gastric emphysema and emphysematic gastritis, apparently similar entities with very different treatment. Gastroenterol Hepatol. 2020; S0210-5705(20)30367-8. doi: https://doi.org/10.1016/j.gastrohep.2020.07.022 DOI: https://doi.org/10.1016/j.gastre.2020.07.010
  • Zamora-Elson M, Labarta-Monzón L, Escos-Orta J, Cambra-Fierro P, Vernal-Monteverde V, Seron-Arbeloa C. Gastritis enfisematosa, eficacia del tratamiento con antibioterapia precoz. Gastroenterol Hepatol. 2016; 39(6): 393-395. doi: https://doi.org/10.1016/j.gastrohep.2015.05.008 DOI: https://doi.org/10.1016/j.gastrohep.2015.05.008
  • Shibata M, Tsuchiya A, Nishikawa K. Emphysematous gastritis. Oxf Med Case Reports. 2020(12): omaa114. doi: https://doi.org/10.1093/omcr/omaa114 DOI: https://doi.org/10.1093/omcr/omaa114
  • Nasir M, Chango J, DiSiena MS, et al. Emphysematous gastritis. Am J Gastroenterol. 2020; 115(1): S1590. doi: https://doi.org/10.14309/01.ajg.0000714120.22638.34 DOI: https://doi.org/10.14309/01.ajg.0000714120.22638.34
  • Curelli J, Fridenberg G, Cereceda S, García-Saiz J. Enfisema gástrico benigno vs. gastritis enfisematosa. Rev HPC. 2004; 7(1): 1-4. Accesible en: https://hpc.org.ar/wp-content/uploads/346-v7n1p43.pdf (último acceso oct. 2022)
  • Sifuentes-Pastor F, Moctezuma-Velázquez J, Aguilar-Frasco J. Neumatosis gástrica: espectro de enfermedad. Rev Gastroenterol. Mex. 2020; 85(2): 219-220. doi: https://doi.org/10.1016/j.rgmx.2019.05.001 DOI: https://doi.org/10.1016/j.rgmx.2019.05.001