@mvligo.is: #sololife

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Tuesday 07 July 2026 01:49:48 GMT
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tyanne_09
Tyanne🌺 :
Plus dans mes et si et si que dans se qu’il va réellement se passer….
2026-07-09 20:01:57
0
3mma.78_
🌸 :
C vrmt réel je me fais tout le temps des scénarios depuis
2026-07-10 21:29:20
9
trikiita.45k
🌴🇲🇦 طرزان :
Condamner pour le restant d’mes jours
2026-07-08 00:24:27
3
not.crz8
@NOT.CRZ 🔱 爱 :
😁😁😁
2026-07-12 07:22:48
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Here’s a CT of the abdomen and pelvis performed in a patient with repeated episodes of vomiting. One of the first findings to notice is thickening of the distal esophagus, which is consistent with esophagitis related to the patient’s vomiting history. The more striking finding, however, is the bubbly appearing gas within the gastric fundus. This represents gastric pneumatosis, meaning air within the wall of the stomach itself. When radiologists see pneumatosis, one of the major concerns is ischemia. However, gastric pneumatosis has a fairly broad differential diagnosis, and importantly, many cases are not ischemic in origin. In fact, even cases associated with portal venous gas can sometimes be benign and self-limited. One important nonischemic cause is a Mallory-Weiss tear. Mallory-Weiss tears occur from forceful vomiting and lead to longitudinal mucosal lacerations near the gastroesophageal junction. These tears disrupt the mucosal barrier, while the increased intragastric pressure from vomiting can force air into the damaged wall of the stomach. That air can then dissect through the gastric wall, producing pneumatosis. In this patient, the gas is localized predominantly to the gastric fundus, which is a typical distribution for this process. Some of the air can also track into the venous system. On this CT, there is a small focus of gas within the left portal vein, demonstrating portal venous gas related to venous drainage from the stomach. Although emphysematous gastritis and ischemic causes of gastric pneumatosis are worrisome and can be life-threatening, this case demonstrates an important benign mimic. The patient was managed conservatively with observation and ultimately did well. #radiology #foamrad #radres #stomach #meded
Here’s a CT of the abdomen and pelvis performed in a patient with repeated episodes of vomiting. One of the first findings to notice is thickening of the distal esophagus, which is consistent with esophagitis related to the patient’s vomiting history. The more striking finding, however, is the bubbly appearing gas within the gastric fundus. This represents gastric pneumatosis, meaning air within the wall of the stomach itself. When radiologists see pneumatosis, one of the major concerns is ischemia. However, gastric pneumatosis has a fairly broad differential diagnosis, and importantly, many cases are not ischemic in origin. In fact, even cases associated with portal venous gas can sometimes be benign and self-limited. One important nonischemic cause is a Mallory-Weiss tear. Mallory-Weiss tears occur from forceful vomiting and lead to longitudinal mucosal lacerations near the gastroesophageal junction. These tears disrupt the mucosal barrier, while the increased intragastric pressure from vomiting can force air into the damaged wall of the stomach. That air can then dissect through the gastric wall, producing pneumatosis. In this patient, the gas is localized predominantly to the gastric fundus, which is a typical distribution for this process. Some of the air can also track into the venous system. On this CT, there is a small focus of gas within the left portal vein, demonstrating portal venous gas related to venous drainage from the stomach. Although emphysematous gastritis and ischemic causes of gastric pneumatosis are worrisome and can be life-threatening, this case demonstrates an important benign mimic. The patient was managed conservatively with observation and ultimately did well. #radiology #foamrad #radres #stomach #meded

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