Gastric emphysema secondary to pyloric stenosis - A case report

Tun Jen Cheng, Ming Che Lee, Hwa Chung Chen, Yao Jen Chang, Ing Che Huang

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Gastric emphysema is incidentally found in patients with a prior history of endoscopic examination or chronic lung disease. It usually needs no further treatment. However, gastric outlet obstruction can also induce gastric emphysema. Surgical intervention is necessary to relieve clinical symptoms. We reported a case of gastric emphysema due to pyloric stenosis. Abdominal distension and vomiting with coffee ground substance were the main symptoms. Panendoscopy demonstrated an elongated stomach with diffusely hemorrhagic necrosis on the gastric mucosa. Computed tomography (CT) was performed and disclosed abnormal intramural gas collection at the fundus and high body. This patient was treated successfully with gastric resection. The differentiation between gastric emphysema and emphysematous gastritis was also discussed.

Original languageEnglish
Pages (from-to)333-335
Number of pages3
JournalTzu Chi Medical Journal
Issue number5
Publication statusPublished - Oct 2002
Externally publishedYes


  • Gastrectomy
  • Gastric emphysema
  • Pyloric stenosis

ASJC Scopus subject areas

  • Medicine(all)


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