Emphysematous Gastritis in the Setting of Chronic Abdominal Pain.

Emphysematous gastritis is a rare but fatal variant of gastritis. It is caused by gastric wall invasion by gas-forming organisms. It follows disruption of gastric mucosal integrity by a variety of factors, most commonly caustic ingestion and alcohol abuse. Patients typically present with abdominal symptoms with features of septic shock. Emphysematous gastritis carries a high mortality rate warranting early intervention with supportive measures and broad-spectrum antibiotics. It is essential to consider this rare entity in the differential diagnosis of a patient presenting with abdominal pain as timely intervention is crucial for survival. LEARNING POINTS: Emphysematous gastritis is rare but important to keep in mind when evaluating patients with acute abdominal pain.Emphysematous gastritis is a serious condition which has a high mortality rate if not diagnosed early. © EFIM 2020.