case_images: PMC5306989_01
case_images: EGD showing a large pulsating bulge in the second portion of the duodenum with an adjacent 15 mm ulcer.
case_images: CRIGM2017-9087308.001.jpg
case_images: PMC5306989_01_CRIGM2017-9087308.001.jpg
case_images: fig1
case_images: A 15 mm ulcer with an adherent clot was also visualized in the same region without active bleeding (Figure 1).
case_images: 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).
case_images: CRIGM2017-9087308.002.jpg
case_images: PMC5306989_01_CRIGM2017-9087308.002.jpg
case_images: fig2
case_images: 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).
case_images: Surgical pathology revealing intense active inflammation with the presence of necrotizing granulomas.
case_images: CRIGM2017-9087308.003.jpg
case_images: PMC5306989_01_CRIGM2017-9087308.003.jpg
case_images: fig3
case_images: Surgical pathology revealed intense chronic active inflammation with the presence of necrotizing granulomas (Figure 3).