Late stage congestive gastropathy

Ornella Leone, Magda Zanelli, Simonetta Piana, Donatella Santini, Domenico Marrano

Research output: Contribution to journalArticlepeer-review

Abstract

Gastric mucosal abnormalities resulting from portal hypertension are defined as 'congestive gastropathy'. A case of congestive gastropathy with unusual features, in a 63 year old man with a history of excessive alcohol intake and cirrhosis, is described. The patient underwent a subtotal gastrectomy because of profuse bleeding from a gastric ulcer, providing a large surgical specimen for examination. Unusual gross and histological findings included prominent arterial intimal hyperplasia, and diffuse duplication and focal fragmentation of the internal lamina elastica. The differential diagnosis of this condition includes primary angiodysplastic gastropathy such as Dieulafoy's disease. The similarity with Dieulafoy-like angiodysplasia emphasises that clear cut criteria to define gastric vascular lesions do not yet exist.

Original languageEnglish
Pages (from-to)350-352
Number of pages3
JournalJournal of Clinical Pathology
Volume50
Issue number4
Publication statusPublished - 1997

Keywords

  • Cirrhosis
  • Congestive gastropathy
  • Primary angiodysplasia

ASJC Scopus subject areas

  • Pathology and Forensic Medicine

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