PMC8627797_01
A: A posterior-anterior chest radiograph showed ground glass and linear opacities in the mid and lower zones in the periphery of both lungs. B: Chest computed tomography showed bilateral subpleural consolidations. C: Ground glass and linear opacities s in the mid and lower zones of both lungs remained on a posterior-anterior chest radiograph obtained before esophagogastroduodenoscopy.
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The patient was a 70-year-old man with a medical history of diabetes mellitus and hyperlipidemia who was suffering from COVID-19 pneumonia (Fig. 1A, B). Ground glass and linear opacities in the mid and lower zones of both lungs remained on a posterior-anterior chest radiograph (Fig. 1C).
Contrast-enhanced computed tomography revealed edematous stomach wall thickening. Neither ischemic findings in the gastric wall nor obstruction of the gastric artery was detected.
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Contrast-enhanced computed tomography (CT) revealed edematous stomach wall thickening; however, neither ischemic findings in the gastric wall nor obstruction of the gastric artery was detected (Fig. 2).
A, B: Emergent esophagogastroduodenoscopy showed diffuse dark-red mucosa accompanied by multiple easy-bleeding irregularly shaped ulcers throughout almost the whole stomach without either active bleeding or visible vessels. C: The lesion looked segmental, and borderline findings between dark-red and a normal appearance were clearly recognized at the antrum.
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Emergent esophagogastroduodenoscopy (EGD) showed diffuse dark-red mucosa accompanied by multiple easy-bleeding irregular-shaped ulcers in almost the whole stomach without either active bleeding or visible vessels (Fig. 3A, B). This lesion looked segmental, and borderline findings between dark-red and a normal appearance were clearly recognized at the antrum (Fig. 3C).
A, B: The gastric mucosal lesion was endoscopically improved 10 days after starting the treatment. C, D: A biopsy specimen taken from the gastric mucosal lesion showing exudates with neutrophil infiltration and a superficial gastric mucosa accompanied by regenerative change and mild lymphocytic infiltration in the stroma, indicating non-specific, benign ulcers (Hematoxylin and Eosin staining, C: x40, D: x200).
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H. pylori infection (Fig. 4C, D).
Clinical course of the patient.
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He has experienced neither abdominal symptoms nor rebleeding events since then. His clinical course is summarized in Fig. 5.