title: Multiply recurrent episodes of gastric emphysema.
abstract: Introduction. Gastric emphysema can present both a diagnostic challenge and a life-threatening condition for patients and has only once been reported as being recurrent. Background. A 64-year-old male presented with chronic abdominal pain and was found to have gastric pneumatosis on CT scan. The patient was successfully managed conservatively. The cause was attributed to aberrant arterial anatomy and atherosclerosis along with hypotension. The patient has since had 3 episodes of recurrent gastric emphysema, all managed nonoperatively. Discussion. To our knowledge, this is the first case of both serial episodes of gastric pneumatosis and gastric mucosal ischemia as a precipitating factor for the development of gastric emphysema.
authors.affiliation: Division of Minimally Invasive and Bariatric Surgery, Penn State Hershey Milton S. Medical Center and Penn State College of Medicine, Hershey, PA 17033, USA.
authors.forename: Eric M
authors.initials: EM
authors.lastname: Pauli
authors.forename: Jonathan M
authors.initials: JM
authors.lastname: Tomasko
authors.forename: Vishal
authors.initials: V
authors.lastname: Jain
authors.forename: Charles E
authors.initials: CE
authors.lastname: Dye
authors.forename: Randy S
authors.initials: RS
authors.lastname: Haluck