Volume 220 - Issue 11
Post‐operative gastric pneumatosis
Authors: Siti Soraya Ab Rahman and Mohamad Farhan Mohamad Yusoff
Med J Aust 2024; 220 (11): 558-558. || doi: 10.5694/mja2.52310
Published online: 17 June 2024
Published online: 17 June 2024
A 47-year-old woman who had undergone a Hartmann procedure for sigmoid colon perforation, developed sepsis a week after surgery
Gastric pneumatosis, a rare condition characterised by the presence of air in the gastric wall, may be caused by infection or ischaemia.1 A 47‐year‐old woman who had undergone a Hartmann procedure for sigmoid colon perforation, developed sepsis a week after surgery. Blood cultures grew Corynebacterium diphtheriae and Pseudomonas aeruginosa. A computed tomography scout image of the abdomen showed circumferential gas within the gastric wall (Figure, A). Axial images in soft tissue (Figure, B) and lung windows (Figure, C) delineated the extent of gastric pneumatosis. There was no evidence of portal venous gas. Gastric pneumatosis can be subdivided into gastric emphysema (typically self‐limiting) or the more aggressive emphysematous gastritis.2
Competing interests
No relevant disclosures.
References
- Tagliaferri A, Melki G, Mohamed A, et al. Gastric pneumatosis in immunocompromised patients: a report of 2 cases and comprehensive literature review. Radiol Case Rep 2023; 18: 1152‐1155.
- Schattner A, Glick Y. Gastric pneumatosis and its varied pathogenesis. QJM 2020; 113: 747‐748.
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