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Bamboo trees in the stomach
  1. A Hokama,
  2. F Kinjo,
  3. R Tomiyama,
  4. T Makishi,
  5. K Kobashigawa,
  6. T Sunagawa,
  7. Y Yonamine,
  8. Y Kugai,
  9. R Matayoshi,
  10. A Saito
  1. First Department of Internal Medicine, University of the Ryukyus, Okinawa, Japan
  1. Correspondence to:
    Dr A Hokama
    First Department of Internal Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, Japan; hokama-amed.u-ryukyu.ac.jp

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Clinical presentation

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 7.1×109/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.

Figure 1

 Upper gastrointestinal endoscopy.

Question

What characteristic structure will be shown in the biopsies? What is the diagnosis?

See page 1631 for answer

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Footnotes

  • Robin Spiller, Editor

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