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. 2024 Jan 25;14:2202. doi: 10.1038/s41598-024-52633-z

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© The Author(s) 2024

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

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CT and endoscopic images of a 66-year-old male, currently undergoing chemotherapy for esophageal cancer, with a gastrostomy tube placement. The patient was asymptomatic, and during an endoscopic evaluation before esophageal cancer surgery, gastric mucosal injury was noted. On the same day, CT scans (A) revealed the presence of gas (white arrow) and thrombosis (black arrow) in the splenic to portal veins. Additionally, a gas-filled appearance was observed within the gastric wall (arrowheads). Esophagogastroduodenoscopy (B–D; B, the gastric fornix and upper body; C, gastric body; D, gastric antrum) showed diffuse reddish erosions with white exudates extending from the fornix to the antrum. The boundary between the injured and non-injured mucosa was partially distinct (B). The anterior wall of the gastric body was intact (C, asterisk). Mucosal injury was predominant on the folds (C, dagger). CT computed tomography.