A case of a gas embolism in the aorta induced by necrotizing gastroenteritis
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Department of Traumatology and Critical Care Medicine (CCM), National Defense Medical College (NDMC)
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Fig. 1
Trunk CT on arrival. The trunk CT demonstrated a gas embolism in the ascending aorta (A), coronary artery (B), portal vein, and wall of the stomach (C) (white arrow).
A 69-year-old man with epigastralgia and vomiting continuing for 7 hours was transported to this department. At the time of examination, he was drowsy and in a state of shock. He showed a markedly distended abdomen and epigastric tenderness. Arterial blood gas showed hypoxia and severe metabolic acidosis. Computed tomography revealed intramural gas in the wall of the stomach and small intestine, and multiple gas in the portal vein, mesenteric vein, pulmonary artery, coronary artery, and ascending aorta.
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© 2008 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
