PMC6188725_01
Gastric ulcer with feculent material.
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fig1
She was admitted to the medical service and had an upper endoscopy showing a large cratered gastric ulcer in the greater curvature of the body with excessive amount of feculent material (see Figure 1) which raised suspicion for possible fistulous connection to the large bowel.
Transverse colon mass.
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fig2
Subsequent colonoscopy revealed a large, circumferential, obstructing transverse colon mass (see Figure 2).
CT abdomen with IV contrast: axial image.
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fig3
Repeat abdominal CT scan with oral and intravenous contrast confirmed suspicion of distal transverse colon mass with gastrocolic fistula (see Figure 3).