An 86-year-old woman with multiple comorbidities attended the emergency department for incoercible vomiting, revealing an incarcerated umbilical hernia. Abdominal computed tomography showed a distal stomach with gastric pneumatosis and portal gas (Fig. 1). Exploratory laparotomy was performed, finding a herniated anthropyloric region, with no signs of distress (Fig. 2). Umbilical hernioplasty was performed and the patient was discharged without complications. Portal and gastric pneumatosis are usually ominous signs due to their frequent association with massive intestinal ischaemia and emphysematous gastritis; however, they are radiological signs that can be associated with different aetiologies such as mechanical intestinal obstruction, with a better prognosis.
Journal Information
Vol. 101. Issue 2.
Pages 130 (February 2023)
Vol. 101. Issue 2.
Pages 130 (February 2023)
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Portal gas and gastric pneumatosis. A story with happy ending
Gas portal y neumatosis gástrica. Una historia con final feliz
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Sergio Hernández-Villafranca
, Mario Martín Sánchez, Carmen Sánchez, Pedro Villarejo Campos
Corresponding author
Servicio de Cirugía General y del Aparato Digestivo, HU Fundación Jiménez Díaz, Madrid, Spain
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