Successful medical management of emphysematous gastritis with concomitant portal venous air: a case report.
BACKGROUND
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.


METHODS
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 degrees 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.


CONCLUSIONS
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.
Paul
Manju
M
Department of Medicine, State University of New York Upstate Medical University, 750 E Adams Street, Syracuse, NY 13202, USA. johns@upstate.edu.
John
Savio
S
Menon
Madhav C
MC
Golewale
Nazar H
NH
Weiss
Stan L
SL
Murthy
Uma K
UK