Year 2017 / Volume 109 / Number 5
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A rare cause of emphysematous infectious gastritis

368

Jorge Galván Fernández, Maria Isabel Jiménez Cuenca, Isabel Molpeceres Martínez, María Luisa Álvarez-Quiñones,

Abstract
A 61 year-old man with a history of hypertension, type2 diabetes, chronic renal failure, tuberculosis and peripheral arterial disease presented with gangrene in the right leg. A right supracondylar amputation was performed, despite which the patient continued with a high fever, oliguria and hypotension (90/50). Laboratory work-up showed neutrophilic leukocytosis and metabolic acidosis. CT revealed pneumoperitoneum, emphysema and thickening of the gastric wall. Changing the CT window we can appreciate air dissecting the layers of the gastric wall. This clinical-radiological picture is consistent with emphysematous infectious gastritis, complicated with septic shock and the death of the patient despite treatment. The final histopathology reported gastric necrosis caused by mucormycosis affecting the entire thickness of the gastric wall and embolizing vessels.
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References
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Galván Fernández J, Jiménez Cuenca M, Molpeceres Martínez I, Álvarez-Quiñones M. A rare cause of emphysematous infectious gastritis. 4606/2016


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Publication history

Received: 07/09/2016

Accepted: 25/09/2016

Published: 03/05/2017

Article editing time: 238 days


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