© 2004 by BMJ Publishing Group Ltd & British Society of Gastroenterology
EDITOR'S QUIZ: GI SNAPSHOT
Bamboo trees in the stomach
First Department of Internal Medicine, University of the Ryukyus, Okinawa, Japan
Correspondence to:
Correspondence to:
Dr A Hokama
First Department of Internal Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, Japan; hokama-a@med.u-ryukyu.ac.jp
Keywords: bamboo joint-like appearance; Crohn’s disease; endoscopy; indigo carmine; non-caseating granuloma
| The first 100% of the full text of this article appears below. |
A 46 year old man presented with general fatigue and abdominal discomfort. He had a surgical history of ileal perforation at the age of 40 years. His family history was unremarkable. On examination, there was no tenderness on palpation of the abdomen with increased bowel sounds. Laboratory values were as follows: leucocytes 7.1x109/l; haemoglobin 10.5 g/dl; and albumin 3.0 g/dl. Upper gastrointestinal endoscopy after spraying with a solution of indigo carmine dye showed swollen longitudinal folds transversed by linear furrows like "bamboo trees" on the lesser curvature of the gastric body (fig 1
). Helicobacter pylori was negative.
[in a new window] Figure 1 Upper gastrointestinal endoscopy.
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What characteristic structure will be shown in the biopsies? What is the diagnosis?
See page 1631 for answer
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Gut 2004 53: 1631.[Extract] [Full Text] [PDF]
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