PMC3350265_01
Endoscopic view of the stomach body demonstrating patchy areas of ischemia.
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Intraoperative upper endoscopy (EGD) was performed, which showed diffuse edema and mucosal ischemia of the proximal 50% of the stomach (Figure 1).
Axial CT scan image demonstrating portal venous gas (arrows) and gastric emphysema (arrowheads). Several benign hepatic cysts are also visualized.
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CT scan showed worsening portal venous air and gastric pneumatosis (Figure 2).
Sagittal CT scan image demonstrating the supra-diaphragmatic origin of the left gastric artery (arrow) and the separate celiac origin (arrowhead). Aortic atherosclerotic calcifications can also be seen.
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fig3
Mesenteric angiography was performed and showed atherosclerosis and an aberrant left gastric artery, with its origin above the diaphragmatic crus (Figure 3).