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. 2007 Dec;56(12):1664. doi: 10.1136/gut.2006.105304

A rare complication of peptic ulcer disease

Robin Spiller, editor1
PMCID: PMC2095697  PMID: 17998322

Clinical presentation

A 67‐year‐old Caucasian retired miner was referred by his general practitioner for an open access gastroscopy to evaluate dyspepsia of 6 months' duration. There were no associated “alarm symptoms”, comorbidities, past history of similar symptoms or gastroscopy. His only drug, ranitidine 150 mg twice daily, recently prescribed by his general practitioner, partially relieved his symptoms. He was an ex‐smoker and drank alcohol in moderation. Gastroscopy in July 2003 showed findings in the antral area (fig 1).

graphic file with name gt105304.f1.jpg

Figure 1 Endoscopic appearance of gastric antrum at initial gastroscopy.

Questions

What are the findings in the figure?

What is the diagnosis?

See page 1677 for answers


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