@article{3104120,
    title = "Intramural gastric air in an acutely ill patient with endoscopic and surgical correlation",
    author = "Athanasiou, S. and Aslanidi, C. and Sarri, A. and Prigouris, P. and Vrettou, C.S. and Pavlopoulou, A.",
    journal = "Radiology Case Reports",
    year = "2020",
    volume = "15",
    number = "8",
    pages = "1155-1158",
    publisher = "HANLEY & BELFUS-ELSEVIER INC",
    issn = "1930-0433",
    doi = "10.1016/j.radcr.2020.04.050",
    keywords = "antibiotic agent;  creatinine;  glucose;  insulin;  urea, abdominal radiography;  abdominal tenderness;  acidosis;  acutely ill patient;  adult;  Article;  case report;  celiac artery;  clinical article;  comatose patient;  conservative treatment;  contrast enhancement;  creatinine blood level;  crystalloid;  diabetic ketoacidosis;  edema;  emphysema;  female;  foreign body;  gastric vein;  gastrointestinal endoscopy;  glucose blood level;  hepatic portal vein;  hepatic portal venous gas;  human;  hyperglycemia;  intensive care unit;  intramural gastric air;  ketonuria;  kidney function;  laparotomy;  medical history;  middle aged;  priority journal;  schizophrenia;  stomach disease;  stomach distension;  stomach ulcer;  stomach wall;  urea blood level;  vomiting;  x-ray computed tomography",
    abstract = "Intramural gastric air is a rare but potentially life-threatening imaging finding. We present the case of a 56-year-old female patient with a history of schizophrenia, who presented with multiple episodes of vomiting and altered mental status. CT scan revealed intramural gastric air and portal venous gas. The patient was treated conservatively with a favorable outcome. Gastric emphysema and emphysematous gastritis should be considered in the differential diagnosis of air in the gastric wall. It is critical to distinguish between these 2 entities as their clinical course and management differ significantly, although radiographic findings may mimic each other. © 2020"
}