Gastric Emphysema in a Critically Ill Patient Successfully Treated without Surgery

Figure 1

Plain abdominal CT scan on admission showing dilatation of the stomach (arrowhead) and second portion of the duodenum (arrow) (a). Contrast-enhanced CT scan on hospital day 11 showing gas within the wall of a distended stomach (arrowheads) and portal vein (circled region). An arrow demonstrating the tip of the feeding tube (b). Follow-up CT scan showing improvement of gas in the stomach and portal vein (c). Sagittal view showing an acute angle of the aorto-superior mesenteric artery (arrow) and a collapsed duodenum (arrowhead) (d).

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