PMC5828044_01
Intraoperative image after resection of the proximal third of the stomach and jejunal interposition.
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The patient had a history of a 6.5 cm gastrointestinal stromal tumor (GIST) of the cardia, for which she initially received downsizing treatment with imatinib 400 mg/d, followed by surgical resection of the gastroesophageal junction and reconstruction with a jejunal interposition (Merendino procedure) 4 years earlier (Figure 1).
CT scan after endoscopic hemostasis demonstrates liver metastasis and the tumor recurrence in the remnant stomach (frontal image in arterial phase).
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A CT scan of the thorax and abdomen showed no signs of active bleeding or free abdominal fluid (Figure 2).
Histological image of bacilli with features consistent with those of Clostridium perfringens in the cardial muscle tissue (hematoxylin and eosin, x400).
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In addition, a diffuse spread of C. perfringens in multiple organs with advanced tissue lysis was histologically confirmed (Figures 3-5).
Histological image of Clostridium perfringens in the cardial muscle tissue (Gram's stain, x400).
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fig4
In addition, a diffuse spread of C. perfringens in multiple organs with advanced tissue lysis was histologically confirmed (Figures 3-5).
Histological image of bacilli with features consistent with those of Clostridium perfringens in lung parenchyma (hematoxylin and eosin, x400).
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In addition, a diffuse spread of C. perfringens in multiple organs with advanced tissue lysis was histologically confirmed (Figures 3-5).