title: Gastric emphysema a spectrum of pneumatosis intestinalis: a case report and literature review.
abstract: The finding of gas within the gastric wall is not a disease by itself, rather than a sign of an underlying condition which could be systemic or gastric. We present the case of a woman identified with gastric emphysema secondary to the administration of high doses of steroids, with the purpose of differentiating emphysematous gastritis versus gastric emphysema due to the divergent prognostic implications. Gastric emphysema entails a more benign course, opposed to emphysematous gastritis which often presents as an acute abdomen and carries a worse prognosis. Owing to the lack of established diagnostic criteria, computed tomography is the assessment method of choice. Currently no guidelines are available for the management of this entity, since the evidence is limited to a few case series and a considerable number of single case reports.
authors.affiliation: Hospital Angeles Clinica Londres, Durango No. 50, Roma Norte, Cuauhtémoc, 06700 Ciudad de México, DF, Mexico.
authors.forename: Guillermo
authors.initials: G
authors.lastname: López-Medina
authors.affiliation: Hospital Angeles Mocel, Gregorio V. Gelati 29, San Miguel Chapultepec, Miguel Hidalgo, 11850 Ciudad de México, DF, Mexico.
authors.forename: Roxana
authors.initials: R
authors.lastname: Castillo Díaz de León
authors.affiliation: Hospital Angeles Clinica Londres, Durango No. 50, Roma Norte, Cuauhtémoc, 06700 Ciudad de México, DF, Mexico.
authors.forename: Alberto Carlos
authors.initials: AC
authors.lastname: Heredia-Salazar
authors.affiliation: Hospital Angeles Clinica Londres, Durango No. 50, Roma Norte, Cuauhtémoc, 06700 Ciudad de México, DF, Mexico.
authors.forename: Daniel Ramón
authors.initials: DR
authors.lastname: Hernández-Salcedo
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