PMC6304633_01
CT scan of the upper abdomen. Low-attenuation surrounding the distal esophagus with esophageal wall thickening (arrows).
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Due to her significant abdominal pain, a computed tomography (CT) of the abdomen and pelvis was done which revealed extensive low-attenuation surrounding the distal esophagus with esophageal wall thickening (Figure 1).
EGD image showing longitudinal ulceration and necrosis of the distal esophagus. Image (a) is slightly more distal and shows the significant mucosal necrosis and erosion. Image (b) shows the diffusely black appearance secondary to the ischemic insult.
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fig2
Gastroenterology was consulted in regard to the abnormal CT findings and the decision was made to perform an esophagogastroduodenoscopy (EGD) which revealed severe, diffuse esophageal ulcerations and necrosis (Figure 2).