{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T07:37:22Z","timestamp":1792481842092,"version":"4.5.0"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T00:00:00Z","timestamp":1772150400000},"content-version":"vor","delay-in-days":27,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Emphysematous gastritis is a rare, often fatal condition characterized by gas within the gastric wall, usually in patients with significant comorbidities. We describe a 75-year-old man with incomplete tetraparesis, chronic respiratory failure and type 2 diabetes who presented with abdominal pain, vomiting and hematemesis. Initial computed tomography (CT) was reported as non-obstructive small-bowel dilatation with possible gallstone ileus, but subspecialty radiology review identified intramural gastric gas with portal venous gas consistent with emphysematous gastritis. He was managed non-operatively with nasogastric decompression, intravenous broad-spectrum antibiotics and proton-pump inhibition within a ward-based ceiling of care. Repeat CT on day 10 showed complete radiological resolution. Despite this, he later developed sepsis from a large necrotic pressure ulcer and died after a multidisciplinary decision for palliative care. This case supports conservative management in selected high-risk patients and emphasizes early, meticulous pressure-area assessment in immobile surgical admissions.<\/jats:p>","DOI":"10.1093\/jscr\/rjag089","type":"journal-article","created":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T12:41:46Z","timestamp":1770122506000},"source":"Crossref","is-referenced-by-count":1,"title":["Emphysematous gastritis with portal venous gas: conservative management in a high-risk patient"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-1985-0035","authenticated-orcid":false,"given":"Sandeepa","family":"Dadigamuwage","sequence":"first","affiliation":[{"name":"Colorectal Surgery Department, University Hospitals Plymouth NHS Trust , Derriford Road, Crownhill, Plymouth, Devon, PL6 8DH ,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vimarshini","family":"Samarakoon","sequence":"additional","affiliation":[{"name":"Torrington Cardiac Intensive Care Unit, University Hospitals Plymouth NHS Trust , Derriford Road, Crownhill, Plymouth, Devon, PL6 8DH ,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma","family":"Horrocks","sequence":"additional","affiliation":[{"name":"Colorectal Surgery Department, University Hospitals Plymouth NHS Trust , Derriford Road, Crownhill, Plymouth, Devon, PL6 8DH ,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,2,27]]},"reference":[{"key":"2026022711493778200_ref1","doi-asserted-by":"crossref","first-page":"848","DOI":"10.1093\/clinids\/12.5.848","article-title":"Emphysematous gastritis: case report and review","volume":"12","author":"Moosvi","year":"1990","journal-title":"Rev Infect Dis"},{"key":"2026022711493778200_ref2","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1097\/00000441-200504000-00007","article-title":"Emphysematous gastritis","volume":"329","author":"Allan","year":"2005","journal-title":"Am J Med Sci"},{"key":"2026022711493778200_ref3","first-page":"891360","article-title":"Gastric emphysema: a spectrum of pneumatosis intestinalis: a case report and literature review","volume":"2014","author":"L\u00f3pez-Medina","year":"2014","journal-title":"Case Rep Gastrointest Med"},{"key":"2026022711493778200_ref4","doi-asserted-by":"publisher","first-page":"bcr-2017-222118","DOI":"10.1136\/bcr-2017-222118","article-title":"Role of conservative management in emphysematous gastritis","volume":"2018","author":"Nemakayala","year":"2018","journal-title":"BMJ Case Rep"},{"key":"2026022711493778200_ref5","doi-asserted-by":"publisher","first-page":"80","DOI":"10.1016\/j.ijscr.2019.09.046","article-title":"Emphysematous gastritis: a case series of three patients managed conservatively","volume":"64","author":"Nasser","year":"2019","journal-title":"Int J Surg Case Rep"},{"key":"2026022711493778200_ref6","doi-asserted-by":"publisher","first-page":"bcr-2017-219651","DOI":"10.1136\/bcr-2017-219651","article-title":"Emphysematous gastritis with hepatic portal venous gas","volume":"2017","author":"Nehme","year":"2017","journal-title":"BMJ Case Rep"},{"key":"2026022711493778200_ref7","doi-asserted-by":"publisher","first-page":"e34656","DOI":"10.7759\/cureus.34656","article-title":"Conservative management of emphysematous gastritis with gastric mucosal ischaemia: a case report","volume":"15","author":"Bak","year":"2023","journal-title":"Cureus"},{"key":"2026022711493778200_ref8","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1038\/sc.1996.46","article-title":"Major risk factors for pressure ulcers in the spinal cord injured: a literature review","volume":"34","author":"Byrne","year":"1996","journal-title":"Spinal Cord"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/2\/rjag089\/67156845\/rjag089.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/2\/rjag089\/67156845\/rjag089.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T16:49:42Z","timestamp":1772210982000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag089\/8501295"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,31]]},"references-count":8,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,1,31]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag089","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,2]]},"published":{"date-parts":[[2026,1,31]]},"article-number":"rjag089"}}