Issue 9:2

Gastric Emphysema. Coronal CT annotated. JETem 2024

A Case Report Evaluating Gastric Emphysema versus Emphysematous Gastritis

Anna Nguyen*, Mark Slader, MD ^, Lindsey Spiegelman, MD, MBA^

DOI: https://doi.org/10.21980/J8ZH26Issue 9:2[mrp_rating_result]
A CT scan of the abdomen and pelvis was obtained and revealed gas within the gastric wall at the fundus (blue arrows), concerning for gastric emphysema versus emphysematous gastritis. There was no gastric wall thickening, free air, bowel obstruction, drainable fluid collection, or evidence of portal venous gas. Incidentally, hepatomegaly and likely hepatic steatosis were also noted.
Visual EM
Adult Intussusception. CT Axial Unannotated. JETem 2024

Telescoping into Adulthood: A Case Report of Intussusception in an Adult Patient

Neena Joy, DO*, and Laura Kolster, DO*

DOI: https://doi.org/10.21980/J8Q06C Issue 9:2[mrp_rating_result]
Computed tomography imaging of the abdomen and pelvis with intravenous and oral contrasts was obtained. In the axial view, one will see a concentric ring formed by layers of bowel, mesenteric vessels, and fat (red arrow and circle); this is the equivalent of the ultrasonographic “target sign.” The inner ring (blue arrow) represents the lead point causing telescoping of the bowel. One can see that the proximal bowel is dilated (yellow arrow). In the coronal view, one can see an obstructive mass, also known as the lead point (red arrow), located in the lumen of the descending colon. Located proximal to the lead point are dilated loops of bowel with edematous changes and fat stranding (pink circle). The proximal portion of the bowel will take on a concentric appearance with the telescoping loop of bowel.
Abdominal/GastroenterologyVisual EM