A Case of Acute Phlegmonous Gastritis With Hepatic Portal Venous Gas

Abstract

A 90-year-old man was treated in the orthopedic surgery department of our hospital for a femoral neck fracture. He experienced abdominal pain and vomiting. Laboratory tests revealed leukocytosis and elevated C-reactive protein levels. Computed tomography (CT) examination showed the presence of gas in the hepatic portal vein and gastric wall. We diagnosed phlegmonous gastritis on the basis of the esophagogastroendoscopic findings. Enterococcus faecalis and Staphylococcus hominis were cultured from a biopsy specimens obtained from the stomach. The patient's clinical symptoms improved, and the abdominal endoscopic and CT examination findings normalized following the administration of antibiotics. Acute phlegmonous gastritis with hepatic portal venous gas is a rare case, and to the best of our knowledge, there have been only 6 other similar reported cases. We report herein on a case of acute phlegmonous gastritis with hepatic portal venous gas and review the relevant literature.