case_images: PMC6514519_01
case_images: Abdominal CT scan revealing marked air within the gastric wall (green arrows), extensive prominent looping of the small bowel (red arrows), and air within the portal vein (blue arrows).
case_images: crg-0013-0207-g01.jpg
case_images: PMC6514519_01_crg-0013-0207-g01.jpg
case_images: F1
case_images: An abdominal CT scan revealed air in the stomach wall and portal vein, air distending the stomach, and extensive prominent small bowel looping (Fig. 1).
case_images: Gross specimen of the stomach retrieved from autopsy showing areas of hyperemia and necrosis suggestive of emphysematous gastritis.
case_images: crg-0013-0207-g02.jpg
case_images: PMC6514519_01_crg-0013-0207-g02.jpg
case_images: F2
case_images: A postmortem review confirmed the underlying diagnosis of emphysematous gastritis (Fig. 2) in the presence of bacterial overgrowth by S. ventriculi (Fig. 3a, b).
case_images: Photomicrographs of the stomach stained with hematoxylin and eosin. a 4x magnification showing air sacs within the stomach suggestive of emphysematous gastritis. b 40x magnification of the stomach specimen demonstrating the characteristic features of bacterial overgrowth by S. ventriculi, namely basophilic, cuboid-shaped organisms in a tetrad formation.
case_images: crg-0013-0207-g03.jpg
case_images: PMC6514519_01_crg-0013-0207-g03.jpg
case_images: F3
case_images: A postmortem review confirmed the underlying diagnosis of emphysematous gastritis (Fig. 2) in the presence of bacterial overgrowth by S. ventriculi (Fig. 3a, b).