case_images: PMC10805477_01
case_images: (a) Endoscopy showing multiple esophageal venous sinus (black arrow). (b, c) Computed tomography enterography showing the calcification of the esophageal wall (white arrow). (d, e) Computed tomography enterography showing diffused thickening of the colon with surrounding multiple vascular calcifications (white arrow). (f, g) Endoscopy showing purple mucosa from the cecum to the splenic flexure. The mucosal surface was purplish-brown with local congestion as observed (white arrow). (h-k) Microscopic images showing (white arrow) inflammatory cell infiltration in the mucosa lamina propria and mucosa intramuscular, more foam phagocyte, focal lymphocyte aggregation, small-vessel proliferation, and surrounding collagen-like deposition. (h, i) hematoxylin-eosin staining; (j, k) pathological immunohistochemical staining.
case_images: JGH3-8-e13027-g002.jpg
case_images: PMC10805477_01_JGH3-8-e13027-g002.jpg
case_images: jgh313027-fig-0001
case_images: Gastroscopy revealed multiple esophageal venous sinuses (Fig. 1a), which pose a risk of bleeding. Chest CT showed multiple calcification of the esophageal veins (Fig. 1b,c). Mild enhancement was seen in the intestinal wall on enhanced scans, and no obvious stenosis was seen in the intestinal lumen (Fig. 1d,e). Colonoscopy found tiny ulcers in the rectum, a background of cyanotic mucosa from cecum to sigmoid, dark-purple edematous mucosa, and dilated veins (Fig. 1f,g). Histopathological examination showed inflammatory cell infiltration in the mucosa lamina propria and mucosa intramuscular, more foam phagocyte, focal lymphocyte aggregation, small-vessel proliferation, and surrounding collagen-like deposition (Fig. 1h-k).