A Case of Watermelon Stomach Treated by Hemigastrectomy.
- Author:
Jin A KIM
1
;
Ki Seok KIM
;
Hyoung Sam KIM
;
Sang Seok BAE
;
Hee Bok CHAE
;
Sei Jin YOUN
;
Joung Muk LEEM
;
Seok Jin OH
;
Jae Hong CHOI
;
Il Hun BAE
;
Rohyun SUNG
Author Information
1. Department of Internal Medicine, College of Medicine and Medical Research Institute, Chungbuk National University, Cheongju, Korea. sjyoun@med.chungbuk.ac.kr
- Publication Type:Case Report
- Keywords:
Gastric antral vascular ectasia;
Watermelon stomach;
Gastrointestinal bleeding
- MeSH:
Adult;
Anemia, Iron-Deficiency;
Citrullus*;
Diagnosis;
Female;
Gastric Antral Vascular Ectasia*;
Gastroenterostomy;
Hemorrhage;
Hot Temperature;
Humans;
Melena;
Pyloric Antrum;
Pylorus
- From:Korean Journal of Gastrointestinal Endoscopy
2002;25(1):30-33
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Gastric antral vascular ectasia (watermelon stomach) is a rare cause of chronic gastrointestinal bleeding, characterized endoscopically by a distinctive appearance of prominent red vascular folds traversing the gastric antrum and radiating to the pyloric sphincter; this appearance has been likened to the dark stripes on the surface of a watermelon. The etiology is unknown, and the usual presentations are iron-deficiency anemia and melena due to chronic gastric blood loss. Diagnosis is made by the characteristic endoscopic appearance and histologic findings. The treatment of choice is not known yet; surgical resection is curative method, but results from endoscopic treatment with heat probes or lasers are promising. We experienced a case of gastric antral vascular ectasia presenting with epigastric pain and melena in a 34-year-old female. The patient was treated with hemigastrectomy and Billroth II anastomosis.
