PMC6778919_01
CT findings revealing hepatic portal venous gas (white arrows) and gastric pneumatosis (red arrows).
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fig1
CT abdomen pelvis without contrast performed in the emergency department revealed gastric pneumatosis with adjacent left upper quadrant portal venous gas along with branching portal venous gas throughout the liver (Figure 1).
Findings of gastric necrosis and ischemia seen on esophagogastroduodenoscopy.
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fig2
Esophagogastroduodenoscopy was performed revealing proximal stomach ischemia from the midbody to the fundus with some necrosis with normal appearing distal stomach and duodenum (Figure 2).
Histologic imaging of gastric biopsy showing areas of hemorrhage (yellow arrow) with mucosal coagulative necrosis (blue arrow), which can be early gastric ischemic changes.
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fig3
Biopsies revealed acute hemorrhagic gastritis secondary to ischemia with recommendation of surgical resection (Figure 3).