Presentation
One week history of abdominal discomfort, fever, vomiting and leukocytosis.
Patient Data
Age: 70 years
Gender: Male
From the case:
Emphysematous gastritis
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Moderately fluid-filled distended stomach with NGT. Intramural gas mainly within the greater curvature with thinning of the adjacent gastric wall which shows no mucosal enhancement. No evidence of gastric perforation.
Colonic interposition between the right hemidiaphragm and liver with no free intraperitoneal air (Chilaiditi syndrome).
Case Discussion
The clinical history and the CT features are most consistent with emphysematous gastritis.
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