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8757

Aggressive Benign Gastric Ulcer

Article

Last updated: 22 Jan 2023

OverviewSimilar Items

Subjects

-

Tags

Gastroenetrology

Abstract

This 48 years old male patient presented with 2 months history of persistent vomiting and epigastric pain and unsatisfactory response to multiple courses of proton pump inhibitors. He had no chronic medical disease nor GIT bleeding. On examination he was pale with epigastric tenderness, otherwise free. Investigations showed mild microcytic hypochromic anemia. Diagnostic upper endoscopy was done and showed GERD with huge active gastric ulcer with marked mucosal congestion and inflammation, necrotic floor and edematous edge, for the first time it was suspected to be malignant (image 1), multiple biopsies were taken. Biopsy result showed moderately active chronic H Pylori with intestinal metaplasia. Treatment included two days of parentral PPI, then two weeks of triple therapy follwed by four weeks of oral omeprazole 40 mg/day. Follow up one month later showed marked improvement (image 2). Thus it could be concluded that apparently aggressive lesions are not always malignant, any suspicious lesion should be biopsied , treatment of H Pylori promotes healing of gastric ulcer and follow up of endoscopic healing is advised.

DOI

10.21608/aeji.2011.8757

Keywords

Gastric ulcer

Authors

First Name

Mohamed

Last Name

Emara

MiddleName

Hassan

Affiliation

Tropical Medicine Department ,Faculty of Medicine ,Zagazig University ,Zagazig ,Egypt

Email

emara_20007@yahoo.com

City

Zagazig

Orcid

0000-0002-1504-7851

Volume

1

Article Issue

1

Related Issue

1688

Issue Date

2011-09-01

Receive Date

2018-07-07

Publish Date

2011-09-01

Page Start

17

Page End

18

Print ISSN

2090-7613

Online ISSN

2090-7184

Article File

AEJI_Volume 1_Issue 1_Pages 17-18.pdf

PDF . 364.6kB

Link

https://aeji.journals.ekb.eg/article_8757.html

Detail API

https://aeji.journals.ekb.eg/service?article_code=8757

Order

5

Type

Images in Infectious and Endemic Diseases

Type Code

624

Publication Type

Journal

Publication Title

Afro-Egyptian Journal of Infectious and Endemic Diseases

Publication Link

https://aeji.journals.ekb.eg/

MainTitle

-

Details

Type

Article

Created At

22 Jan 2023