PMC6514519_01
Abdominal CT scan revealing marked air within the gastric wall (green arrows), extensive prominent looping of the small bowel (red arrows), and air within the portal vein (blue arrows).
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F1
An abdominal CT scan revealed air in the stomach wall and portal vein, air distending the stomach, and extensive prominent small bowel looping (Fig. 1).
Gross specimen of the stomach retrieved from autopsy showing areas of hyperemia and necrosis suggestive of emphysematous gastritis.
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F2
A postmortem review confirmed the underlying diagnosis of emphysematous gastritis (Fig. 2) in the presence of bacterial overgrowth by S. ventriculi (Fig. 3a, b).
Photomicrographs of the stomach stained with hematoxylin and eosin. a 4x magnification showing air sacs within the stomach suggestive of emphysematous gastritis. b 40x magnification of the stomach specimen demonstrating the characteristic features of bacterial overgrowth by S. ventriculi, namely basophilic, cuboid-shaped organisms in a tetrad formation.
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F3
A postmortem review confirmed the underlying diagnosis of emphysematous gastritis (Fig. 2) in the presence of bacterial overgrowth by S. ventriculi (Fig. 3a, b).