A case of acute aspiration pneumonitis and more specifically aspirated gastric contents (Mendelson syndrome ) during a general anesthetic. The patient underwent a short-duration general anesthetic for the surgical excision of a dermatological mass. The presence of a sliding hiatal hernia and gastro-esophageal reflux during a recumbent position during general anesthesia contributed to gastric content aspiration.

The CT study confirms significant resolution of the pulmonary infiltrates within a relatively short duration of time and obviated the need for aggressive management and intubation.