A Rare Cause of Whole Gastrointestinal Duct Edema and Multiple Small Intestinal Polypoid Ulcers

Question: A 60-year-old man complaining of recurrent melena for> 2 months, accompanied by fatigue and anemia, was admitted to our gastroenterology ward. He denied experiencing hematemesis, abdominal pain, fever, osteodynia, or arthralgia. His medical history included a 6-year history of alcoholic hepatocirrhosis and type 2 diabetes mellitus. Colonoscopy found no evidence of hemorrhage. However, gastroduodenoscopy showed multiple polypoid lesions in the duodenum (Figure A, B). An abdominal computed tomography (CT) scan was performed (Figure C).

Source: Gastroenterology - February 9, 2018 Category: Gastroenterology Authors: Lei Miao, XiangRong Chen, ZhiMing Huang Tags: Clinical Challenges and Images in GI Source Type: research