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. 2021 Apr 29;12:56. doi: 10.1186/s13244-021-00985-9

Fig. 21.

Fig. 21

A 17 y/o female with abdominal pain, distension, nausea and vomiting for 3 days. a, b Marked gastric dilatation is seen with mural pneumatosis (thin arrows) and hypo-enhancement (arrowheads). Portal vein pneumatosis is also depicted (dotted arrow). Patient’s annular pancreas (thick arrows) was causing duodenal luminal narrowing. c, d Emphysematous gastritis and annular pancreas were confirmed in surgery; total gastrectomy and esophagojejunostomy were performed