Medically treated emphysematous gastritis in a patient with rheumatoid arthritis: report of case

Abstract

Emphysematous gastritis is rare infection of the gastric wall associated with high mortality. Damage of the gastric mucosal barrier and bacterial translocation can lead to emphysematous gastritis. Non-steroidal anti-inflammatory drugs use is one of the etiological factors. Due to the high mortality rates, early diagnosis and treatment is important. Patients are presenting to emergency departments generally with non-specific acute abdominal signs. We present a case of an 82 years old patient with rheumatoid arthritis treated with non-steroidal anti-inflammatory drug that presented to the emergency department with diffuse abdominal pain, nausea and vomiting. After establishing the diagnosis, conservative treatment was conducted with success.