PMC4339859_01
(a) Blue arrow showing air in the wall of the stomach. (b) Blue arrow showing air in the intrahepatic branches of portal vein. (c) Coronal section of the abdomen with upper arrow showing air in the intrahepatic branch of portal vein and lower arrow showing air in the area of confluence of portal vein. (d) Blue arrow showing air in the stomach wall and red arrow showing air in the spleen.
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fig1
Subsequently, a computerized tomography (CT) scan of the abdomen was obtained which revealed air in the wall of the stomach along with large amount of air in the liver, spleen, portal vein, superior mesenteric vein, and splenic vein (Figure 1).
Contrast enhanced CT scan of the abdomen (48 hours after presentation) showing resolution of gas in the wall of the stomach, portal veins, and spleen.
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A repeat CT scan of the abdomen (obtained after 48 hours from presentation) showed complete resolution of gastric pneumatosis and portal venous air (Figure 2).