title: Vomiting-induced gastric emphysema and hepatoportal venous gas: a case report and review of the literature.
abstract: Gastric pneumatosis is the presence of air within the wall of the stomach. It represents a spectrum of conditions ranging from benign disease to septic shock and death. Etiopathologically, it can be classified into emphysematous gastritis or gastric emphysema (GE). Along with hepatoportal venous gas (HPVG), it was considered as an ominous radiological sign and warranted an emergent surgical exploration; however, with widespread use of computerized tomographic (CT) scan, an increasing number of benign causes of GE and HPVG have been reported in the literature, where patients can be managed by noninvasive and conservative measures. We hereby describe a case where recurrent episodes of vomiting led to development of GE and HPVG and the patient was managed successfully by conservative measures.
authors.affiliation: Division of Gastroenterology and Hepatology, Department of Internal Medicine, Presence Saint Francis Hospital, Evanston, IL 60202, USA.
authors.forename: Malav P
authors.identifier: 0000-0002-9212-9041
authors.initials: MP
authors.lastname: Parikh
authors.affiliation: Department of Gastroenterology and Hepatology, Georgia Regents University, Augusta, GA 30912, USA.
authors.forename: Muhammed
authors.identifier: 0000-0001-7940-0362
authors.initials: M
authors.lastname: Sherid
authors.affiliation: Division of Gastroenterology and Hepatology, Department of Internal Medicine, Presence Saint Francis Hospital, Evanston, IL 60202, USA.
authors.forename: Venu
authors.initials: V
authors.lastname: Ganipisetti
authors.affiliation: Division of Gastroenterology and Hepatology, Department of Internal Medicine, Presence Saint Francis Hospital, Evanston, IL 60202, USA.
authors.forename: Venu
authors.initials: V
authors.lastname: Gopalakrishnan
authors.affiliation: Department of Radiology, Presence Saint Francis Hospital, Evanston, IL 60202, USA.
authors.forename: Maria
authors.initials: M
authors.lastname: Habib
authors.affiliation: Division of Gastroenterology and Hepatology, Department of Internal Medicine, Presence Saint Francis Hospital, Evanston, IL 60202, USA.
authors.forename: Monika
authors.initials: M
authors.lastname: Tripathi