case_images: PMC6381914_01
case_images: Axial (a) and coronal (b) views of the CT of the abdomen and pelvis with significant inflammatory changes (red arrow) and intraluminal versus submucosal foci of gas (blue arrow).
case_images: crg-0013-0012-g01.jpg
case_images: PMC6381914_01_crg-0013-0012-g01.jpg
case_images: F1
case_images: The CT scan of his abdomen and pelvis demonstrated significant stranding and inflammatory changes around the descending and transverse portions of the duodenum with mucosal enhancement and foci of gas adjacent to the transverse portion of the duodenum, noted to be either intraluminal or intramural (Fig. 1).
case_images: Endoscopic views of the duodenal bulb (a) and the second portion of the duodenum (b) demonstrating extensive ulcerations with a pigmented spot and erosions.
case_images: crg-0013-0012-g02.jpg
case_images: PMC6381914_01_crg-0013-0012-g02.jpg
case_images: F2
case_images: Diffuse moderately erythematous mucosa was also noted in the second and third segments of the duodenum (Fig. 2).