Carlota Tuero, Department of General and Digestive Surgery, Garcia Orcoyen Hospital, Navarra, Spain
Gorka Docio, Department of General and Digestive Surgery, Garcia Orcoyen Hospital, Navarra, Spain
Alicia Artajona, Department of General and Digestive Surgery, Garcia Orcoyen Hospital, Navarra, Spain
Beñat Arin, Department of General and Digestive Surgery, Garcia Orcoyen Hospital, Navarra, Spain
Manuel Cires, Department of General and Digestive Surgery, Garcia Orcoyen Hospital, Navarra, Spain
Soledad Monton, Department of General and Digestive Surgery, Garcia Orcoyen Hospital, Navarra, Spain


Acute massive gastric dilatation is a rare condition mainly seen in patients with alimentary disorders. This massive distention may cause gastric necrosis and even perforation and emphysematous gastritis. We report the case of an 18-year-old female with intense abdominal pain and signs of sepsis. Computed-tomography scan diagnosed an acute massive gastric distention within gas into the gastric wall. Despite rapid instauration of conservative treatment, the patient finally underwent surgery. It is important to discard this infrequent pathology even in young and healthy people. An early diagnosis is crucial, a rapid instauration of conservative management may be effective and avoid surgery.



Keywords: Acute massive gastric distention. Emphysematous gastritis. Necrotizing gastritis. Sarcina ventriculi.