PMC10362984_01
Coronal (a) and axial (b) images from the initial CT of the abdomen and pelvis with IV contrast demonstrate a distended stomach with pneumatosis (yellow arrows) within the gastric wall involving most of the stomach. No pneumoperitoneum, portal venous gas, or pneumatosis within the small or large bowel was identified. Coronal (c) and axial (d) images from CT of the abdomen and pelvis with IV and oral contrast taken on day four demonstrating oral contrast and an enteric tube (white arrow) within the stomach with near interval resolution of gastric pneumatosis. Residual pneumatosis in the wall of the anterior antrum (yellow arrows) is noted.
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A computed tomography (CT) scan (Figures 1(a) and 1(b)) of the abdomen and pelvis with intravenous (IV) contrast demonstrated a distended stomach with fluid and the presence of peripheral gas along the anterior and lateral walls of the gastric fundus and proximal gastric body, suggesting pneumatosis. A repeat CT scan of the abdomen with oral contrast (Figures 1(c) and 1(d)) on day four showed a decrease in gastric pneumatosis, with some residual pneumatosis at the fundus.