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An 85-year-old male with a past medical history of hypertension, cardiomyopathy hypertensive, chronic auricular fibrillation, ischemic stroke without sequels, recurrent respiratory infections and aspiration pneumonia, presented to Emergency Department with hip fracture after accidental fall. He was operated 3 days after correcting the coagulation index. The day after, the patient presented respiratory difficulty and low level of consciousness, due to pneumonia and he was treated with antibiotics. After 3 days, it was evident respiratory improvement, but he presented acute abdominal pain, associated with bloating and vomiting. The abdominal radiography showed gas within greater gastric curvature wall (Fig. 1). The computed tomography scan showed diffuse and circumferential air within gastric wall extended to low esophagus, small amount of pneumoperitoneum adjacent Fig. 1. The abdominal radiography: Gas within greater gastric curvature wall.

Emphysematous gastritis associated to portal venous gas: Medical management to an infrequent acute abdominal pain