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.
Impact factor
The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two preceding years.
© Clarivate Analytics, Journal Citation Reports 2025
Impact factor 2024
1.3
Citescore 2024
1.0
SJR
SRJ is a prestige metric based on the idea that not all citations are the same. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal's impact.
See moreSJR 2024
0.233
SNIP
SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field.
See moreSNIP 2024
0.377
View more metrics
