PMC5407359_01
PET scan demonstrating abnormal hypermetabolic activity within the stomach.
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F1
On a recent positron emission topography (PET) scan, he was found to have a new area of intense activity within the proximal stomach (Figure 1).
Esophagogastroduodenoscopy demonstrating diffuse superficial gastric ulcerations.
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F2
Upper endoscopy showed scattered shallow ulcers throughout the stomach (Figure 2).
Gastric biopsies demonstrating lymphocytic gastritis type pattern with acute inflammation and reactive gastropathy (H&E stain at 400x magnification).
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F3
Gastric biopsies demonstrated lymphocytic gastritis-type pattern with acute inflammation and reactive gastropathy (Figure 3).
(A) Repeat endoscopy after PPI therapy showing full mucosal healing. (B) Repeat PET scan after PPI therapy showing resolution of previous hypermetabolic activity in the gastric wall.
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F4
His symptoms resolved within a few days of daily proton pump inhibitor (PPI) usage, and upper endoscopy and repeat PET demonstrated resolution (Figure 4).