{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T23:45:01Z","timestamp":1787010301181,"version":"build-2736575974"},"reference-count":5,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The radiographic finding of gastric emphysema with portal venous gas is classically an ominous finding, associated with a high rate of mortality. Although classically the case, this imaging finding must be quickly correlated with the overall clinical picture, allowing for the essential differentiation between the highly lethal emphysematous gastritis and the much more benign gastric emphysema, each of which has drastically different management strategies. We report a case of gastric emphysema with portal venous gas likely attributable to a gastric outlet obstruction and gastric mucosal defect in a 17-year-old girl with a chief complaint of syncope that was diagnosed in the emergency department and treated conservatively.<\/jats:p>","DOI":"10.1097\/pec.0000000000001202","type":"journal-article","created":{"date-parts":[[2017,6,15]],"date-time":"2017-06-15T02:03:57Z","timestamp":1497492237000},"page":"e152-e153","source":"Crossref","is-referenced-by-count":8,"title":["Gastric Emphysema"],"prefix":"10.1097","volume":"35","author":[{"given":"Sean D.","family":"Murnan","sequence":"first","affiliation":[{"name":"Naval Medical Center Portsmouth, Portsmouth"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jill","family":"Miller","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital of the King\u2019s Daughters, Norfolk, VA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Kuhn","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital of the King\u2019s Daughters, Norfolk, VA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2017,6,15]]},"reference":[{"key":"bib1-20230930","first-page":"10","article-title":"Gas in hepatic portal veins with gastric massive dilatation and pneumatosis in acute pancreatitis","year":"2015","journal-title":"J Clin Diagn Res"},{"key":"bib2-20230930","first-page":"891360","article-title":"Gastric emphysema a spectrum of pneumatosis intestinalis: a case report and literature review","volume":"2014","year":"2014","journal-title":"Case Rep Gastrointest Med"},{"key":"bib3-20230930","doi-asserted-by":"crossref","first-page":"e11","DOI":"10.1308\/003588414X13946184901128","article-title":"Diagnostic dilemma of gastric intramural air","volume":"96","year":"2014","journal-title":"Ann R Coll Surg Engl"},{"key":"bib4-20230930","first-page":"413230","article-title":"Vomiting-induced gastric emphysema and hepatoportal venous gas: a case report and review of the literature","volume":"2015","year":"2015","journal-title":"Case Rep Med"},{"key":"bib5-20230930","doi-asserted-by":"crossref","first-page":"1049","DOI":"10.1093\/qjmed\/hcu108","article-title":"Gastric pneumatosis","volume":"107","year":"2014","journal-title":"QJM"}],"container-title":["Pediatric Emergency Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/00006565-201908000-00020","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,30]],"date-time":"2023-09-30T04:22:17Z","timestamp":1696047737000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/00006565-201908000-00020"}},"subtitle":["A Cannot-Miss Emergency Medicine Diagnosis"],"short-title":[],"issued":{"date-parts":[[2017,6,15]]},"references-count":5,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2019]]}},"URL":"https:\/\/doi.org\/10.1097\/pec.0000000000001202","relation":{},"ISSN":["1535-1815","0749-5161"],"issn-type":[{"value":"1535-1815","type":"electronic"},{"value":"0749-5161","type":"print"}],"subject":[],"published":{"date-parts":[[2017,6,15]]}}}