Emphysematous gastritis is rare infection of the gastric wall associated with high mortality. Damage of the gastric mucosal barrier and bacterial translocation can lead to emphysematous gastritis. Non-steroidal anti-inflammatory drugs use is one of the etiological factors. Due to the high mortality rates, early diagnosis and treatment is important. Patients are presenting to emergency departments generally with non-specific acute abdominal signs. We present a case of an 82 years old patient with rheumatoid arthritis treated with non-steroidal anti-inflammatory drug that presented to the emergency department with diffuse abdominal pain, nausea and vomiting. After establishing the diagnosis, conservative treatment was conducted with success.
