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严重呕吐所致胃气肿

Gastric Emphysema Induced by Severe Vomiting.

作者信息

Ghneim Amal, Meegada Sreenath

机构信息

Internal Medicine, The University of Texas Health Science Center/Christus Good Shepherd Medical Center, Longview, USA.

出版信息

Cureus. 2019 Dec 28;11(12):e6487. doi: 10.7759/cureus.6487.

DOI:10.7759/cureus.6487
PMID:32025409
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6984179/
Abstract

Gastric emphysema or air in the stomach wall is a rare condition resulting from the disruption of gastric mucosa and entry of air into the stomach wall which could be from severe vomiting, instrumentation or endoscopy, gastric ischemia, and dissection of air from the mediastinum. Treatment is usually conservative and supportive. We report the case of a 70-year-old woman with a three-day history of nausea and vomiting who presented with gastric emphysema on computed tomography (CT) imaging; she responded very well with conservative treatment and was discharged in a stable condition.

摘要

胃壁气肿或胃内积气是一种罕见的病症,由胃黏膜破裂以及空气进入胃壁引起,空气来源可能是剧烈呕吐、器械操作或内镜检查、胃缺血以及纵隔气体剥离。治疗通常是保守和支持性的。我们报告了一例70岁女性病例,该患者有三天的恶心和呕吐病史,计算机断层扫描(CT)成像显示存在胃壁气肿;她接受保守治疗后反应良好,出院时病情稳定。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68ca/6984179/eaa323d45ca1/cureus-0011-00000006487-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68ca/6984179/7216947e28a7/cureus-0011-00000006487-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68ca/6984179/eaa323d45ca1/cureus-0011-00000006487-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68ca/6984179/7216947e28a7/cureus-0011-00000006487-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68ca/6984179/eaa323d45ca1/cureus-0011-00000006487-i02.jpg

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Diagnostic dilemma of gastric intramural air.胃壁内积气的诊断难题
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Successful medical management of emphysematous gastritis with concomitant portal venous air: a case report.伴有门静脉积气的气肿性胃炎的成功内科治疗:一例报告
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