case_images: PMC10469235_01
case_images: CT angiogram of the abdomen revealed a fluid collection abutting the anterior wall of the stomach, extending into the subcutaneous fatty tissues measuring 6 cm x 5 cm with peripheral enhancement (red arrow).. CT: computed tomography.
case_images: 10.1177_2050313X231197085-fig1.jpg
case_images: PMC10469235_01_10.1177_2050313X231197085-fig1.jpg
case_images: fig1-2050313X231197085
case_images: Computed tomography (CT) angiogram of the abdomen revealed a fluid collection abutting the anterior wall of the stomach, extending into the subcutaneous fatty tissues measuring 6 cm x 5 cm with peripheral enhancement (Figure 1).
case_images: (a) Prior PEG tube fistula opening at the gastric body. (b) EGD, at the time of diagnosis, revealing circumferential mucosal changes within the fistula tract, concerning for malignancy.. EGD: esophagogastroduodenoscopy; PEG: percutaneous endoscopic gastrostomy.
case_images: 10.1177_2050313X231197085-fig2.jpg
case_images: PMC10469235_01_10.1177_2050313X231197085-fig2.jpg
case_images: fig2-2050313X231197085
case_images: Esophagogastroduodenoscopy (EGD) images from the initial PEG tube fistula opening can be seen in Figure 2(a). A repeat EGD was performed to rule out alternate causes of bleeding and to evaluate the fistula site, which revealed circumferential mucosal changes with slight oozing of blood noted in the fistula, concerning for malignancy (Figure 2(b)).