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Unusual cause of a giant antral ulcer
  1. Xiang-Yang Wang1,
  2. Ying-Huan Dai2,
  3. Yu-Ming Yang1
  1. 1Department of Gastroenterology, Hunan Provincial People's Hospital, Hunan Normal University, Changsha, Hunan, China
  2. 2Department of Pathology, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China
  1. Correspondence to Dr Xiang-Yang Wang, Department of Gastroenterology, Hunan Provincial People's Hospital, Hunan Normal University, Changsha, Hunan 410005, China; wangxiangyang{at}csu.edu.cn

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Clinical presentation

A 31-year-old man visited our gastroenterology clinic owing to continuous epigastric pain lasting 3 months, diarrhoea during the previous month and an associated 10 kg weight loss. An ulcer in his antrum was discovered by oesophagogastroduodenoscopy (EGD), and he took a proton-pump inhibitor for a month. However, his clinical symptoms and ulcer worsened. He denied melena, haematemesis, fever, arthralgia, recurrent aphthous ulcer and genital ulcer. He had a >10-year history of asthma and eczema. Physical examination was unremarkable except for emaciation …

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