Emphysematous gastritis is rare, partly due to the acidity of gastric juice, rendering the gastric mucosa to be fairly resistant to infection. This condition is best evaluated by CT. 

Several factors have been described in previous literature which predispose the stomach to this condition, including diabetes mellitus, rheumatic diseases, treatment with corticosteroids or previous abdominal surgery.

Clinical presentations include abdominal pain, nausea, vomiting, hematemesis and melena. Invading organisms dissect along the plane of muscularis mucosa of the stomach and hence yielding necrotic tissue within nasogastric aspirate or emesis, which is pathognomonic for this condition. This is a lethal type of infection which carries poor prognosis with mortality rate of about 60%. .

In our case, the etiology is possibly multifactorial; which include ongoing sepsis and gastric infarction since concurrent splenic infarction was also observed. Subsequent fungemia occured and patient succumbed.