Stomach CT Appearances

Emphysematous Gastritis CT Findings

• Wall or fold thickening
• Intramural gas, venous gas
• Gastric distension
• Air in hepatic venous system indicates EG
• Presents similarly to Gastric Emphysema but patients present with severe symptoms such as abdominal pain and GI bleed

Other Information About Emphysematous Gastritis

Etiology:

• Bacteria
• Gastric surgery and injury, ulcers, infection, and excessive alcohol use increase the risk of EG

Epidemiology:

• Rare

Presentation:

• Abdominal pain
• Tachycardia
• Fever
• Nausea and/or vomiting
• Sepsis
• Shock

Prognosis:

• Mortality rate is between 55-80%