{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T06:40:06Z","timestamp":1756363206075,"version":"3.44.0"},"reference-count":11,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>Intramural gas in stomach is a rare finding, but differential diagnosis of this condition into gastric emphysema and emphysematous gastritis is clinically important because of vastly different aetiologies and prognosis. Emphysematous gastritis is caused by gas producing micro-organisms inside the stomach wall and is a potentially fatal condition, while, on the other hand, gas enters stomach wall through mucosal breach in the case of gastric emphysema and prognosis is usually good with complete resolution. To date, no case has been reported in the literature showing gas in the stomach wall in a patient with acute calculus cholecystitis. We present a case of a young man with upper abdominal pain, and who, upon diagnostic work up was diagnosed with acute calculus cholecystitis with associated intramural gas in the stomach with no known aetiological factors to be positive. Conservative management with close observation resulted in complete symptomatic resolution.<\/jats:p>","DOI":"10.1136\/bcr-2012-007757","type":"journal-article","created":{"date-parts":[[2013,5,3]],"date-time":"2013-05-03T03:52:45Z","timestamp":1367553165000},"page":"bcr2012007757","source":"Crossref","is-referenced-by-count":2,"title":["Intramural gas in stomach along with acute calculus cholecystitis: an unusual association"],"prefix":"10.1136","volume":"2013","author":[{"given":"Zohaib Gulzar","family":"Naqvi","sequence":"first","affiliation":[{"name":"Department of Surgery, Section of General Surgery, Aga Khan University Hospital, Karachi, Sindh, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noman","family":"Shahzad","sequence":"additional","affiliation":[{"name":"Department of Surgery, Section of General Surgery, Aga Khan University Hospital, Karachi, Sindh, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdul Rehman","family":"Alvi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Section of General Surgery, Aga Khan University Hospital, Karachi, Sindh, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shahrukh","family":"Effendi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Section of General Surgery, Aga Khan University Hospital, Karachi, Sindh, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,5,2]]},"reference":[{"key":"2025082723213999000_2013.may02_1.bcr2012007757.1","doi-asserted-by":"crossref","first-page":"e30","DOI":"10.1016\/j.cgh.2010.10.024","article-title":"Complete resolution of emphysematous gastritis after conservative management","volume":"2013","author":"Arezzo","year":"2011","journal-title":"Clin Gastroenterol Hepatol"},{"key":"2025082723213999000_2013.may02_1.bcr2012007757.2","doi-asserted-by":"crossref","first-page":"439","DOI":"10.1016\/S0021-7697(07)74003-6","article-title":"[Emphysematous gastritis]","volume":"2013","author":"Nasr","year":"2007","journal-title":"J Chir (Paris)"},{"issue":"Suppl 2 UCTN","key":"2025082723213999000_2013.may02_1.bcr2012007757.3","doi-asserted-by":"crossref","first-page":"E83","DOI":"10.1055\/s-0030-1255805","article-title":"Gastric emphysema after endoscopic submucosal dissection","volume":"2013","author":"Hyun","year":"2011","journal-title":"Endoscopy"},{"key":"2025082723213999000_2013.may02_1.bcr2012007757.4","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1007\/s10140-006-0544-2","article-title":"Gastric pneumatosis following nasogastric tube placement: a case report with literature review","volume":"2013","author":"Zenooz","year":"2007","journal-title":"Emerg Radiol"},{"key":"2025082723213999000_2013.may02_1.bcr2012007757.5","doi-asserted-by":"crossref","first-page":"E227","DOI":"10.1503\/cmaj.090200","article-title":"Massive gastric pneumatosis from pyloric stenosis","volume":"2013","author":"Lim","year":"2010","journal-title":"CMAJ"},{"key":"2025082723213999000_2013.may02_1.bcr2012007757.6","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1016\/j.ciresp.2009.09.010","article-title":"[Gastric pneumatosis secondary to a pyloric stenosis of peptic origin]","volume":"2013","author":"Guti\u00e9rrez Andreu","year":"2011","journal-title":"Cir Esp"},{"key":"2025082723213999000_2013.may02_1.bcr2012007757.7","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1186\/1752-1947-4-140","article-title":"Successful medical management of emphysematous gastritis with concomitant portal venous air: a case report","volume":"2013","author":"Paul","year":"2010","journal-title":"J Med Case Rep"},{"key":"2025082723213999000_2013.may02_1.bcr2012007757.8","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1007\/s10140-010-0888-5","article-title":"Gastric pneumatosis: the role of CT in diagnosis and patient management","volume":"2013","author":"Johnson","year":"2011","journal-title":"Emerg Radiol"},{"key":"2025082723213999000_2013.may02_1.bcr2012007757.9","doi-asserted-by":"crossref","first-page":"919","DOI":"10.1007\/s10620-009-0740-5","article-title":"Troubles with stomach bubbles? Or not?","volume":"2013","author":"Krier","year":"2009","journal-title":"Dig Dis Sci"},{"key":"2025082723213999000_2013.may02_1.bcr2012007757.10","doi-asserted-by":"crossref","first-page":"862","DOI":"10.1177\/000313480707300906","article-title":"Conservative management of nongangrenous esophageal and gastric pneumatosis","volume":"2013","author":"McLaughlin","year":"2007","journal-title":"Am Surg"},{"key":"2025082723213999000_2013.may02_1.bcr2012007757.11","first-page":"605","article-title":"Empysematous gastritis Shifa College of Medicine, Islamabad","volume":"2013","author":"Iqbal","year":"2006","journal-title":"J Pak Med Assoc"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2012-007757","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T06:21:51Z","timestamp":1756362111000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2012-007757"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,5,2]]},"references-count":11,"alternative-id":["10.1136\/bcr-2012-007757"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2012-007757","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2013,5,2]]}}}