PMC5306989_01
EGD showing a large pulsating bulge in the second portion of the duodenum with an adjacent 15 mm ulcer.
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fig1
A 15 mm ulcer with an adherent clot was also visualized in the same region without active bleeding (Figure 1).
CTA showing a 5.3 cm aortic aneurysm, marked soft tissue thickening of the aortic wall, and a small pocket of gas within the soft tissue of the aorta (soft tissue gas designated by the arrow).
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fig2
Urgent computed tomography angiography (CTA) showed a 5.3 cm aortic aneurysm, marked soft tissue thickening of the aortic wall, and a small pocket of gas within the soft tissue of the aorta near the second portion of the duodenum (Figure 2).
Surgical pathology revealing intense active inflammation with the presence of necrotizing granulomas.
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fig3
Surgical pathology revealed intense chronic active inflammation with the presence of necrotizing granulomas (Figure 3).