CT of Acute Abdomen

Epigastric Pain series 1 EXPERT COURSE Answer [EE Case 3]

AGML (Acute Gastric Mucosal Lesion)

Significant circumferential wall thickening (black arrowheads of Fig.8-Fig.11) due to submucosal edema limited to antrum indicates AGML. Endoscopy showed blood clots, mucosal edema and redness of antrum (Fig.A).

Reference Case (AGML): A 53-year-old man presented with epigastric pain and vomiting in the morning after heavy drinking previous night.
Black arrowheads of Fig.1-Fig.4 demonstrate wall thickening due to circumferential submucosal edema of antrum, indicating AGML. Endoscopy showed edematous wall thickening, redness and multiple erosions of antrum (Fig.A).

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