1995 Volume 47 Pages 166-167
A 61-year-old man was admitted to other hospital on January 13, 1995 with the complaints of vomiting and diarrhea. After admission, the hematemesis was happened to be shock state by blood loss on the 28th hospital day. Emergency gastric endoscope was revealed the bleeding from esophageal ulcer all around in upper part of EC junction, multiple gastric ulcers in lesser curvature of the angle, posterior wall of the upper body, duodenal ulcer in anterior wall of bulbs were found.
During conservative therapy, the hematemesis was found again with shock state, and the patient moved to our hospital. Serum gastrin level (450 pg/ml) , pepsinogen I level (114 ng/ml) were higher in average and Helicobacter pylori IgG antibody was positive (81Ｕ/ml) . We reported the case of multiple esophageal, gastric and duodenal ulcer that was resisted against proton pump inhibitor with repeats of shock by rebleeding due to the highly suspected gastrinoma.
