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Giant gastric ulcer: an endoscopic roller coaster
  1. A O Laosebikan1,
  2. V Govindasamy1,
  3. G Chinnery1,
  4. F Ghimenton1,
  5. S R Thomson2
  1. 1Department of Surgery, Greys Hospital, Pietermaritzburg, South Africa
  2. 2Department of Surgery, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa
  1. Correspondence to:
    Mr A O Laosebikan
    Department of Surgery, Greys Hospital, Private Bag X9001, Pietemaritzburg, 3200, KwaZulu-natal, South Africa; maharajkdohgreys.kzntl.gov.za

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Clinical presentation

A 39 year old male who was a chronic user of non-steroidal analgesics, alcohol, and tobacco presented with recurrent haematemesis. He was haemodynamically stable but pale and tender in the epigastrium. No other abnormalities were noted.

Haematological evaluation confirmed iron deficiency anaemia. Total protein and albumin were 47 g/dl and 21 g/dl, respectively. Gastroscopy and barium meal findings are shown in fig 1A and 1B, respectively.

Figure 1

 Gastroscopy (A) and barium meal (B) findings in the patient.

Question

What is the diagnosis and how does it usually present?

See page 509 for answer

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Footnotes

  • Robin Spiller, editor

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