Athanasiou Sofia, Aslanidi Christina, Sarri Aikaterini, Prigouris Panagiotis, Vrettou Charikleia S, Pavlopoulou Aikaterini
Department of CT-MRI, Evangelismos General Hospital, Ipsilantou 45-47, Attiki, 10676 Athens, Greece.
1st Department of Critical Care and Pulmonary Medicine, National and Kapodistrian University of Athens, School of Medicine, Evangelismos General Hospital, Athens, Greece.
Radiol Case Rep. 2020 Jun 5;15(8):1155-1158. doi: 10.1016/j.radcr.2020.04.050. eCollection 2020 Aug.
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.
胃壁内积气是一种罕见但可能危及生命的影像学表现。我们报告一例56岁有精神分裂症病史的女性患者，她出现多次呕吐和精神状态改变。CT扫描显示胃壁内积气和门静脉积气。该患者接受了保守治疗，预后良好。在胃壁积气的鉴别诊断中应考虑胃气肿和气肿性胃炎。尽管影像学表现可能相互相似，但区分这两种情况至关重要，因为它们的临床病程和治疗方法有显著差异。
