TY - JOUR
TI - Intramural gastric air in an acutely ill patient with endoscopic and surgical correlation
AU - Athanasiou, S.
AU - Aslanidi, C.
AU - Sarri, A.
AU - Prigouris, P.
AU - Vrettou, C.S.
AU - Pavlopoulou, A.
JO - Radiology Case Reports
PY - 2020
VL - 15
TODO - 8
SP - 1155-1158
PB - HANLEY & BELFUS-ELSEVIER INC
SN - 1930-0433
TODO - 10.1016/j.radcr.2020.04.050
TODO - 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
TODO - 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
ER -