{
  "abstract": "Emphysematous gastritis is a rare and life-threatening condition often caused by gas-forming bacterial infections. This case describes a woman in her 40s with no significant medical history, presenting with acute abdominal pain, nausea and vomiting. Cross-sectional imaging was non-diagnostic. An oesophagogastroduodenoscopy showed patches of highly unusual cobblestone gastric mucosa, but no definitive diagnosis could be made until histology confirmed emphysematous gastritis. The patient was treated with broad-spectrum intravenous antibiotics, including flucloxacillin, metronidazole and gentamicin. She improved with conservative management, avoiding the need for surgery. This case highlights the importance of early clinical suspicion and using a multidisciplinary approach with endoscopic, microbiological and histological correlation in diagnosing emphysematous gastritis.",
  "authors": [
    {
      "affiliations": [
        "Gastroenterology, Ninewells Hospital and Medical School, Dundee, UK"
      ],
      "name": "Chan Keat Kang"
    },
    {
      "affiliations": [
        "Pathology, Ninewells Hospital and Medical School, Dundee, UK"
      ],
      "name": "Ei Zin Phyo"
    },
    {
      "affiliations": [
        "Gastroenterology, Ninewells Hospital and Medical School, Dundee, UK"
      ],
      "name": "Maximillian Groome"
    },
    {
      "affiliations": [
        "Pathology, Ninewells Hospital and Medical School, Dundee, UK"
      ],
      "name": "Shaun Walsh"
    }
  ],
  "title": "Emphysematous gastritis: diagnostic histology in the absence of classic radiological features",
  "uid": "04abd394-5c06-5ac8-a03f-95961942d447"
}