Spontaneous gastric pneumatosis causing abdominal pain.

摘要

The appearance of gas within the wall of the stomach is an extremely rare occurrence and can be infectious or noninfectious in origin. We present a patient with a presentation of gastric pneumatosis of unknown origin who was managed nonoperatively. A 40-year-old male presented with an 18-hour history of moderate midepigastric pain progressing to severe pain by early afternoon. He reported having diarrhea for three days, and on the day of presentation had bilious emesis. He denied recent constipation, chest pain, palpitations, shortness of breath, or fever. His medical history included gastroesophageal reflux disease, anxiety, and arthritis. His daily medications included cetirizine, paroxetine, esomeprazole, and naproxen. He denied previous surgical history or known allergies. The patient reportedly smoked one pack of cigarettes per day; however he denied any other drug use, specifically cocaine usage.