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Updated: Dec 18, 2025

Author Spotlight: Point-of-Care Ultrasound for Gastric Content Assessment and Risk Stratification in Perioperative Care
Published on: September 22, 2023
Intramural gastric air in an acutely ill patient with endoscopic and surgical correlation
Sofia Athanasiou1, Christina Aslanidi1, Aikaterini Sarri2
1Department of CT-MRI, Evangelismos General Hospital, Ipsilantou 45-47, Attiki, 10676 Athens, Greece.
Abstract:
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.
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