Surviving emphysematous gastritis after hepatectomy.
Emphysematous gastritis is a rare variant of phlegmonous gastritis due to invasion of stomach wall by gas-forming bacteria. It is characterised by abnormal presence of gas in the stomach by imaging, in association with clinical sepsis. Patients suffering from this condition usually present with an underlying pathology. We are reporting a middle-aged Chinese male with hepatitis B virus related hepatocellular carcinoma. He underwent partial hepatectomy and was diagnosed with emphysematous gastritis 4 days after index operation. Emergency laparotomy, including upper endoscopy, was performed. He was managed with antibiotics and discharged 18 days after second operation. This paper shows a review of the literature about the disease, with particular attention to pathology, clinical features, and management.
Department of Surgery, The University of Hong Kong, 102 Pokfulam Road, Hong Kong.
Harry Hok Yee
HH
Yu
Department of Surgery, The University of Hong Kong, 102 Pokfulam Road, Hong Kong.
Simon
S
Tsang
Department of Surgery, The University of Hong Kong, 102 Pokfulam Road, Hong Kong ; Department of Surgery, Queen Mary Hospital, The University of Hong Kong, 102 Pokfulam Road, Hong Kong.
Tan To
TT
Cheung
Department of Surgery, The University of Hong Kong, 102 Pokfulam Road, Hong Kong.
Chung Mau
CM
Lo