PMC6164362_01
(a) Diffuse thickening of the stomach wall with mucosal hyperenhancement and marked submucosal edema. (b) Marked interval improvement in gastric wall thickening and greater curvature intramural hypodensity after two weeks of antibiotic treatment.
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fig1
ANC 0, hemoglobin 8.0 g/dl, platelet 12 x 109/L, and serum blood chemistry and liver function tests were noted to be without significant derangements. A CT scan of the abdomen was performed that showed diffuse thickening of stomach wall (Figure 1(a)), concerning for infectious or infiltrative malignant process. Follow-up CT scan a month later showed marked improvement in gastric thickening (Figure 1(b)).
Upper endoscopy showing large nonobstructing nonbleeding gastric deep ulcerations with exudate material.
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fig2
An upper gastrointestinal (GI) endoscopy was performed which showed a large ulcerative lesion with purulent discharge and inflammatory changes (Figure 2).