Τίτλος:
Intramural gastric air in an acutely ill patient with endoscopic and surgical correlation
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
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
Συγγραφείς:
Athanasiou, S.
Aslanidi, C.
Sarri, A.
Prigouris, P.
Vrettou, C.S.
Pavlopoulou, A.
Περιοδικό:
Radiology Case Reports
Εκδότης:
HANLEY & BELFUS-ELSEVIER INC
Λέξεις-κλειδιά:
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
DOI:
10.1016/j.radcr.2020.04.050
