Successful medical management of emphysematous gastritis with concomitant portal venous air: A case report

被引：31

作者：

Paul M. ^{[1
]}

John S. ^{[1
]}

Menon M.C. ^{[1
]}

Golewale N.H. ^{[2
]}

Weiss S.L. ^{[2
]}

Murthy U.K. ^{[1
]}

机构：

[1] Department of Medicine, State University of New York, Upstate Medical University, Syracuse, NY 13202

[2] Department of Radiology, State University of New York, Upstate Medical University, Syracuse, NY 13210

来源：

Journal of Medical Case Reports | / 4卷 / 1期

关键词：

Chronic Obstructive Pulmonary Disease; Bowel Wall; Neurofibromatosis; Acute Abdominal Pain; Portal Venous System;

D O I：

10.1186/1752-1947-4-140

中图分类号：

学科分类号：

摘要：

Introduction. The causes of diffuse abdominal pain following pelvic surgery are numerous. We present a rare case of acute abdominal pain in a woman in the post-partum period. Case presentation. A 25-year-old Caucasian woman with neurofibromatosis type 1 presented to our hospital with diffuse abdominal pain immediately after a cesarean section. The patient was acutely ill and toxic with a fever of 38.8°C, a pulse of 120 beats per minute and a distended abdomen with absent bowel sounds. A computed tomography scan showed air in the wall of the stomach and portal venous system. The patient was successfully treated with intravenous antibiotics, bowel rest and total parenteral nutrition. Conclusion. It is rare for a case of emphysematous gastritis associated with portal venous air to be treated successfully without surgery. To the best of our knowledge, to date there has been no reported association of emphysematous gastritis with neurofibromatosis. © 2010 Paul et al; licensee BioMed Central Ltd.

引用

共 15 条

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