Korean J Gastroenterol.  2021 Apr;77(4):199-201. 10.4166/kjg.2021.047.

Acute Ischemic Gastropathy with Portal Venous Gas

Affiliations
  • 1Departments of Internal Medicine, Jeju National University School of Medicine, Jeju, Korea
  • 2Departments of Radiology, Jeju National University School of Medicine, Jeju, Korea


Figure

  • Fig. 1 Endoscopic findings. (A) Initial endoscopic image showing a huge ulcer with exudate and pale mucosal discoloration accompanied by redness of the surrounding mucosa in the gastric fundus and high body. (B) Nine days after hospitalization, the follow-up endoscopic image shows healing ulcers with regenerative epithelium. (C) Four months after discharge, the follow-up endoscopic image shows completely healed and normalized gastric mucosa.

  • Fig. 2 Abdominal computed tomography (CT) findings. (A, B) Initial abdominal CT showing localized wall thickening with decreased enhancement of the gastric fundus (black arrows) and intrahepatic portal venous gas (white arrows). (C) One week after hospitalization, follow-up abdominal CT showing normalized gastric wall and disappeared portal venous gas.


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