A Case of Acute Hemorrhagic Gastritis who was Difficult to Definite Diagnose Because of the Unknown Cause

Abstract

A 67-year-old female was admitted to our hospital because of abdominal discomfort, weight loss and tarry stool. Endoscopic examination revealed active bleeding by put the air into the stomach. Upper GI X-ray examination shows the rigidity of gastric wall from the upper to middle body. Abdominal CT scan revealed the thickeness of gastric wall.
Selective gastroduodenal arteriography shows a marked hypervascularity at the middle body and fundic area. The patient underwent total gastrectomy. Macroscopic finding shows extensive hemorrhagic gastric mucosal lesions. Histological findings shows mucosal erosive lesions, thickness of the submucosal layer and the markedly vascular hyperplasia.
In this case, there are no charactristic identity with gastric antral vascular ectasia (GAVE) , diffuse antral vascular ectasia (DAVE) , Osler disease and A-V malformation.