Abstract
A 69-year-old man who had been admitted to a psychiatric hospital with a diagnosis of schizophrenia for approximately 20 years presented to our emergency department with acute onset of vomiting. Physical examination showed abdominal distention without any abdominal tenderness. Computed tomography (CT) showed dilatation of the stomach, air within the gastric wall, jejunal stenosis, and hepatic portal venous gas. He was diagnosed with gastric emphysema with hepatic portal venous gas secondary to bowel obstruction. Because he showed no abdominal tenderness and his general condition was stable, conservative therapy was performed. CT in the hospital showed disappearance of air within the gastric wall, as well as resolution of gastric dilatation, bowel obstruction, and hepatic portal venous gas. The patient showed an uneventful course. We report a case of gastric emphysema with hepatic portal venous gas that was cured conservatively and present a literature review.
