Duodenal Glomus Tumor: A Rare Cause of Upper GI Bleeding

An 88-year-old woman with a past medical history of hypertension and stroke presented with 1 week of progressive weakness, lethargy, and orthostasis. She denied abdominal pain, melena, or hematochezia. Initial vitals signs were unremarkable, and physical examination was notable only for small external hemorrhoids. Stool was positive for occult blood. Her hemoglobin was 7 g/dL; it had been 12.1 g/dL 7 months before the time of her presentation. The following day, an esophagogastroduodenoscopy was performed, which showed a probable 1.5 cm  × 1 cm submucosal mass in the duodenal bulb with oozing at the edges (Figure A).
Source: Clinical Gastroenterology and Hepatology - Category: Gastroenterology Authors: Tags: Electronic Image of the Month Source Type: research