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An elderly 87-year-old male underwent emergency contrast-enhanced CT to investigate acute abdominal pain with epigastric tenderness but no peritonism: the antropyloric region showed pronounced, stratified mural thickening with oedematous submucosa (*), mucosal hyperenhancement best seen in arterial-phase images (thin arrows), and a posterior prepyloric deep ulcer crater (arrows) filled by fluid and air, which was subsequently confirmed by endoscopy
