case_images: PMC6778919_01
case_images: CT findings revealing hepatic portal venous gas (white arrows) and gastric pneumatosis (red arrows).
case_images: CRIGM2019-3682049.001.jpg
case_images: PMC6778919_01_CRIGM2019-3682049.001.jpg
case_images: fig1
case_images: CT abdomen pelvis without contrast performed in the emergency department revealed gastric pneumatosis with adjacent left upper quadrant portal venous gas along with branching portal venous gas throughout the liver (Figure 1).
case_images: Findings of gastric necrosis and ischemia seen on esophagogastroduodenoscopy.
case_images: CRIGM2019-3682049.002.jpg
case_images: PMC6778919_01_CRIGM2019-3682049.002.jpg
case_images: fig2
case_images: Esophagogastroduodenoscopy was performed revealing proximal stomach ischemia from the midbody to the fundus with some necrosis with normal appearing distal stomach and duodenum (Figure 2).
case_images: Histologic imaging of gastric biopsy showing areas of hemorrhage (yellow arrow) with mucosal coagulative necrosis (blue arrow), which can be early gastric ischemic changes.
case_images: CRIGM2019-3682049.003.jpg
case_images: PMC6778919_01_CRIGM2019-3682049.003.jpg
case_images: fig3
case_images: Biopsies revealed acute hemorrhagic gastritis secondary to ischemia with recommendation of surgical resection (Figure 3).