Case Report
 
Emphysematous gastritis after bone marrow transplant: Successful conservative management
Hammad Liaquat1, Imad Jaafar2, Matt Bojanowski3, Endashaw Omer4
1MD, Gastroenterology Fellow, Division of Gastroenterology, Hepatology and Nutrition, Department of Internal Medicine, University of Louisville, Louisville, Kentucky, USA.
2MD, Medical Resident, Department of Internal Medicine, University of Louisville, Louisville, Kentucky, USA.
3Medical Students, School of Medicine, University of Louisville, Louisville, Kentucky, USA.
4MD, Assistant Professor of Medicine, Division of Gastroenterology, Hepatology and Nutrition, Department of Internal Medicine, University of Louisville, Louisville, Kentucky, USA.

Article ID: Z01201607CR10668HL
doi:10.5348/ijcri-201680-CR-10668

Address correspondence to:
Hammad Liaquat
MD, Division of Gastroenterology, Hepatology and Nutrition, University of Louisville School of Medicine
550 S. Jackson Street (ACB, Room A3L15)
Louisville, Kentucky
USA, 40202

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How to cite this article
Liaquat H, Jaafar I, Bojanowski M, Omer E. Emphysematous gastritis after bone marrow transplant: Successful conservative management. Int J Case Rep Images 2016;7(7):454–457.


Abstract
Introduction: Emphysematous gastritis (EG) has a nonspecific presentation, so radiography is an essential diagnostic tool. There is usually a high mortality rate and poor prognosis associated with EG.
Case Report: A 38-year-old male with a history of recurrent seminoma who received chemotherapy and underwent stem cell transplantation before he was diagnosed with EG. During the hospital course, the patient developed gastrointestinal symptoms, neutropenic fever and, subsequently, multi-organ failure. Medical imaging reported findings consistent with EG. The patient was managed conservatively with subsequent recovery and resolution of EG on repeat medical imaging.
Conclusion: Emphysematous gastritis in the setting of immunosuppression and multi-organ failure can be managed successfully with prompt diagnosis and conservative management.

Keywords: Bone marrow transplant, Conservative management, Emphysematous gastritis, Multi-organ failure


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Author Contributions
Hammad Liaquat – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Imad Jaafar – Acquisition of data, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Matt Bojanowski – Acquisition of data, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Endashaw Omer – Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Hammad Liaquat et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.