A Case Report of Gastric Emphysema With Hepatic Portal Venous Gas That Was Cured Conservatively

Abstract

An 83-year-old man developed diarrhea and severe vomiting. He was admitted to our hospital after arriving by ambulance. A computed tomography (CT) examination revealed air bubbles in the gastric wall and hepatic portal venous gas. He had no tenderness with peritoneal signs, and his general condition was stable. He was treated conservatively. A CT examination performed on the following day did not reveal any air bubbles in the gastric wall or hepatic portal venous gas. An upper gastrointestinal endoscopy revealed diffuse edematous changes in the greater curvature of the stomach. A mucosal culture of the stomach was negative. The patient's course was good. He was discharged on the 10th day. We present a case of gastric emphysema with hepatic portal venous gas that was cured with conservative treatment and review the relevant medical literature.