case_images: PMC6164362_01
case_images: (a) Diffuse thickening of the stomach wall with mucosal hyperenhancement and marked submucosal edema. (b) Marked interval improvement in gastric wall thickening and greater curvature intramural hypodensity after two weeks of antibiotic treatment.
case_images: CRIHEM2018-8274732.001.jpg
case_images: PMC6164362_01_CRIHEM2018-8274732.001.jpg
case_images: fig1
case_images: ANC 0, hemoglobin 8.0 g/dl, platelet 12 x 109/L, and serum blood chemistry and liver function tests were noted to be without significant derangements. A CT scan of the abdomen was performed that showed diffuse thickening of stomach wall (Figure 1(a)), concerning for infectious or infiltrative malignant process. Follow-up CT scan a month later showed marked improvement in gastric thickening (Figure 1(b)).
case_images: Upper endoscopy showing large nonobstructing nonbleeding gastric deep ulcerations with exudate material.
case_images: CRIHEM2018-8274732.002.jpg
case_images: PMC6164362_01_CRIHEM2018-8274732.002.jpg
case_images: fig2
case_images: An upper gastrointestinal (GI) endoscopy was performed which showed a large ulcerative lesion with purulent discharge and inflammatory changes (Figure 2).