Journal article
Emphysematous conditions of the abdomen and pelvis: pearls and pitfalls
Abdominal radiology (New York), Vol.51(1), pp.483-512
01/2026
DOI: 10.1007/s00261-025-04997-7
PMCID: PMC12830503
PMID: 40576665
Appears in UI Libraries Support Open Access
Abstract
Emphysematous conditions of the abdomen and pelvis are uncommon but are potentially lethal. A majority of these share common predisposing risk factors such as uncontrolled diabetes mellitus, immunocompromised states, chronic kidney disease, hepatic cirrhosis, malignancy, chemotherapy, and polytrauma. Computed tomography is the most utilized modality for the evaluation of emphysematous conditions in an emergency scenario. It is equally important to recognize mimics of the lethal emphysematous pathologies to avoid misdiagnosis. Gas-containing imaging mimics occur due to recent interventions, instrumentation, and fistulae. This review discusses the pertinent clinical and imaging features of emphysematous conditions of the abdomen and pelvis that can help confirm the diagnosis and guide patient management. For each of these emphysematous pathologies, we also discuss various gas-containing imaging mimics, as the management of these mimics differs from true emphysematous pathologies.
Details
- Title: Subtitle
- Emphysematous conditions of the abdomen and pelvis: pearls and pitfalls
- Creators
- Ananya Panda - University of IowaMohamad Kayali - University of Iowa Health Care, Iowa City, USAYashant Aswani - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Abdominal radiology (New York), Vol.51(1), pp.483-512
- DOI
- 10.1007/s00261-025-04997-7
- PMID
- 40576665
- PMCID
- PMC12830503
- NLM abbreviation
- Abdom Radiol (NY)
- ISSN
- 2366-0058
- eISSN
- 2366-0058
- Publisher
- Springer Nature
- Language
- English
- Electronic publication date
- 06/27/2025
- Date published
- 01/2026
- Academic Unit
- Radiology
- Record Identifier
- 9984833487702771
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