PMC6072804_01
Upper endoscopy showing a circumferential hemorrhagic mucosa, fibropurulent plaques, and violaceus areas of elevated mucosa in the lower third of the esophagus.
CG-CGCR180045F001.jpg
PMC6072804_01_CG-CGCR180045F001.jpg
F1
An urgent upper endoscopy showed a circumferential hemorrhagic mucosa, fibropurulent plaques, and violaceus areas of elevated mucosa in the lower third of the esophagus (Figure 1).
Upper endoscopy showing loss of vascular pattern, areas of pale, hemorrhagic and violaceus mucosa, multiple erosions, and fibropurulent plaques in the (A) antrum, (B) fundus, and (C) duodenum.
CG-CGCR180045F002.jpg
PMC6072804_01_CG-CGCR180045F002.jpg
F2
Mucosa of the gastric fundus, body, antrum, and duodenum exhibited loss of vascular pattern, areas of pale, hemorrhagic and violaceus mucosa, multiple erosions, and fibropurulent plaques (Figure 2).
Hematoxylin and eosin stain of the antrum biopsy showing extensive hemorrhagic necrosis.
CG-CGCR180045F003.jpg
PMC6072804_01_CG-CGCR180045F003.jpg
F3
Biopsies were consistent with extensive hemorrhagic necrosis (Figure 3).