title: Emphysematous Pyelonephritis Associated With Emphysematous Gastritis and Air in the Portal Vein.
abstract: Emphysematous gastritis with portal venous air is a rare condition usually caused by gas forming organisms. This may be secondary to local spread of an infection through the mucosa or rarely hematogenous dissemination from a distant focus. We present a young diabetic woman with uncontrolled diabetes mellitus who was admitted with sepsis and severe abdominal symptoms. Investigation revealed emphysematous pyelonephritis due to E. coli infection associated with emphysematous gastritis and air in the portal tract. She improved with broad spectrum antibiotics, fluid resuscitation and electrolyte and diabetic management. To our knowledge this is the first report showing the association between emphysematous pyelonephritis and gastritis with air in the portal system.
authors.affiliation: Division of Pulmonary Medicine and Critical Care Medicine, Bronx Lebanon Hospital Center, Affiliated with Albert Einstein College of Medicine, Bronx, NY, USA.
authors.forename: Jagadish
authors.initials: J
authors.lastname: Akella
authors.affiliation: Division of Pulmonary Medicine and Critical Care Medicine, Bronx Lebanon Hospital Center, Affiliated with Albert Einstein College of Medicine, Bronx, NY, USA.
authors.forename: Gilda-Diaz
authors.initials: GD
authors.lastname: Fuentes
authors.affiliation: Department of Medicine, Bronx Lebanon Hospital Center, Bronx, NY, USA.
authors.forename: Sunjeet
authors.initials: S
authors.lastname: Kaur
authors.affiliation: Division of Pulmonary Medicine and Critical Care Medicine, Bronx Lebanon Hospital Center, Affiliated with Albert Einstein College of Medicine, Bronx, NY, USA.
authors.forename: Sindhaghatta
authors.initials: S
authors.lastname: Venkatram
keywords: Air in the portal vein; Diabetes mellitus; Emphysematous gastritis; Emphysematous pyelonephritis