case_images: PMC5828044_01
case_images: Intraoperative image after resection of the proximal third of the stomach and jejunal interposition.
case_images: CRIM2018-4278904.001.jpg
case_images: PMC5828044_01_CRIM2018-4278904.001.jpg
case_images: fig1
case_images: The patient had a history of a 6.5 cm gastrointestinal stromal tumor (GIST) of the cardia, for which she initially received downsizing treatment with imatinib 400 mg/d, followed by surgical resection of the gastroesophageal junction and reconstruction with a jejunal interposition (Merendino procedure) 4 years earlier (Figure 1).
case_images: CT scan after endoscopic hemostasis demonstrates liver metastasis and the tumor recurrence in the remnant stomach (frontal image in arterial phase).
case_images: CRIM2018-4278904.002.jpg
case_images: PMC5828044_01_CRIM2018-4278904.002.jpg
case_images: fig2
case_images: A CT scan of the thorax and abdomen showed no signs of active bleeding or free abdominal fluid (Figure 2).
case_images: Histological image of bacilli with features consistent with those of Clostridium perfringens in the cardial muscle tissue (hematoxylin and eosin, x400).
case_images: CRIM2018-4278904.003.jpg
case_images: PMC5828044_01_CRIM2018-4278904.003.jpg
case_images: fig3
case_images: In addition, a diffuse spread of C. perfringens in multiple organs with advanced tissue lysis was histologically confirmed (Figures 3-5).
case_images: Histological image of Clostridium perfringens in the cardial muscle tissue (Gram's stain, x400).
case_images: CRIM2018-4278904.004.jpg
case_images: PMC5828044_01_CRIM2018-4278904.004.jpg
case_images: fig4
case_images: In addition, a diffuse spread of C. perfringens in multiple organs with advanced tissue lysis was histologically confirmed (Figures 3-5).
case_images: Histological image of bacilli with features consistent with those of Clostridium perfringens in lung parenchyma (hematoxylin and eosin, x400).
case_images: CRIM2018-4278904.005.jpg
case_images: PMC5828044_01_CRIM2018-4278904.005.jpg
case_images: fig5
case_images: In addition, a diffuse spread of C. perfringens in multiple organs with advanced tissue lysis was histologically confirmed (Figures 3-5).