PMC6358574_01
Computed tomography imaging of abdomen and pelvis (A) axial and (B) coronal image showing gastric wall thickening and mucosal hyperenhancement with associated portal venous gas and gastric pneumatosis.
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F1
An abdominal CT scan demonstrated circumferential gastric wall thickening and mucosal hyperenhancement, gastric pneumatosis, and portal venous gas concerning for EG (Figure 1).
Endoscopy showing extensive necrotic tissue in the body of the stomach.
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F2
An esophagogastroduodenoscopy showed extensive necrotic mucosa in the stomach (Figure 2).
Histopathology showing suppurative gastritis with an area of acute inflammation (arrow), fibrin and necroinflammatory debris. No stainable organisms were identified.
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F3
Gastric biopsies showed suppurative gastritis with ulceration and necroinflammatory debris (Figure 3) with no fungal elements.
Endoscopy on the ninth day of admission showing resolution of necrosis in the body of the stomach.
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F4
Over a week of observation, the patient's symptoms resolved, and interval cross-sectional imaging and endoscopy demonstrated marked improvement (Figure 4).