PMC4989072_01
Computed tomography (CT) revealed a thickened gastric wall mainly involving the pyloric region.
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Upon admission, a review of a computed tomography (CT) scan was done in an outpatient setting and revealed fatty liver, thickened gastric wall (Figure 1), and a hypodense area in the stomach; however no revision of the gastrointestinal arterial vasculature was done at that time.
EGD showed multiple gastric ulcers in the body of the stomach, fundus, and pylorus.
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A week later, a fourth EGD showed large ulcerations on the preantral greater and lesser curvatures (Figure 2) with hyperemic intervening mucosa.
Computed tomography (CT) angiogram shows stenosis of the SMA and celiac trunk origins.
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A CT angiogram showed significant gastric pyloric wall thickening and surrounding small lymphadenopathy, several new splenic infarcts, and significant narrowing and obstruction in the origin of the superior mesenteric artery (SMA) and the origin of the celiac trunk with mild stenosis of the inferior mesenteric artery (IMA) origin (Figure 3).