Shah Nilay R, Dossick Deborah S, Madura James A, Heppell Jacques P
Division of General and Gastrointestinal Surgery, Department of Surgery, Mayo Clinic Arizona, Phoenix, Ariz., USA.
Case Rep Gastroenterol. 2013 May 31;7(2):261-5. doi: 10.1159/000351876. Print 2013 May.
Gastric pneumatosis is a radiographic finding that represents a spectrum of conditions ranging from benign disease to abdominal sepsis and death. Along with portal venous gas, it is generally considered an ominous sign prompting emergent operative intervention. We report a rare case showing that diagnostic laparoscopy can be used to confirm or refute full thickness ischemic necrosis and that conservative management can be considered in some patients, recognizing the possibility of a benign process.
胃壁积气是一种影像学表现，代表了一系列从良性疾病到腹部脓毒症甚至死亡的病症。与门静脉积气一样，它通常被视为一种不祥之兆，提示需要紧急进行手术干预。我们报告了一例罕见病例，该病例表明诊断性腹腔镜检查可用于证实或排除全层缺血性坏死，并且在认识到存在良性病程可能性的情况下，一些患者可考虑采取保守治疗。
