PMC3388578_01
Plain film of abdomen and CT abdomen showing gastric dilatation of stomach and emphysema (arrow).
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An abdominal X-ray showed significant gastric distension with diffusely noted gas pattern consistent with gastric emphysema (Figure 1). CT confirmed air in the stomach wall, with moderate abdominal and pelvic fluid, which was attributed to her earlier C-section (Figure 1).
Upper GI endoscopy: showing oedamatous beefy red mucosa along the greater curvature of stomach.
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An urgent upper GI endoscopy was arranged which revealed a normal oesophagus, food in the stomach, and, on washing, revealed an oedematous beefy red, friable mucous-coated stomach mucosa extending over greater curvature from midstomach towards the fundus (Figure 2).
Follow-up CT abdomen after a week shows resolution of gastric emphysema.
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A repeat CT, one week later, showed absence of gastric wall gas or free air (Figure 3).