case_images: PMC11788447_01
case_images: Contrast-enhanced CT of the abdomen and pelvis.. CT imaging revealed nonspecific thickening of the distal esophageal (A), irregular thickening of the distal stomach (B), and a focal area of increased soft tissue density with luminal narrowing in the mid-transverse colon (C). All abnormal findings are indicated by blue arrows.
case_images: cureus-0017-00000076857-i01.jpg
case_images: PMC11788447_01_cureus-0017-00000076857-i01.jpg
case_images: FIG1
case_images: A contrast-enhanced CT of the abdomen and pelvis revealed wall thickening in the distal esophagus (Figure 1A) and stomach (Figure 1B), along with luminal narrowing of the mid-transverse colon (Figure 1C).
case_images: Endoscopic visualization of the upper and lower gastrointestinal tract.. Upper endoscopy identified ulcerations in the distal esophagus (A) and similar erosive changes in the post-pyloric region of the stomach (B), accompanied by diffusely pale gastric mucosa (C). Lower endoscopy revealed widespread pallor of the colonic mucosa, most prominent at the splenic flexure (D). Collectively, these findings are consistent with diffuse ischemic changes in the gastrointestinal tract.
case_images: cureus-0017-00000076857-i02.jpg
case_images: PMC11788447_01_cureus-0017-00000076857-i02.jpg
case_images: FIG2
case_images: Subsequent endoscopic investigations, including esophagogastroduodenoscopy (EGD) and colonoscopy, revealed diffuse ulcerations in the distal esophagus (Figure 2A) and post-pyloric regions (Figure 2B). Additionally, they showed diffusely pale mucosa in the stomach (Figure 2C) and colon, with the most pronounced changes observed at the splenic flexure (Figure 2D).