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A patient with fatigue and upper gastrointestinal hemorrhage

    Author: Lapo Nardoni, Marta Zerunian, Damiano Caruso, Andrea Laghi. Rome, Italy
    Body Region: Abdomen and Pelvis

    1. Patient Presentation
    2. CT Images
    3. CT Findings
    4. Diagnosis
    5. References
    Unenhanced axial CT scan showing an exophytic gastric GIST along the lesser curvature near the pyloric region in an elderly patient with upper gastrointestinal bleeding

    1. Patient Presentation

    • An 82-year-old man presented with fatigue and multiple episodes of upper gastrointestinal bleeding. In June 2023, he had experienced three episodes of hematemesis and melena
    • Esophagogastroduodenoscopy revealed a Forrest 2B ulcer located on the lesser curvature of the stomach, while histological examination was unremarkable. Bulging of the gastric wall was also noted.
    • Laboratory tests showed anemia (hemoglobin: 9.1 g/dL), while other parameters were within normal limits.
    • A contrast-enhanced abdominal CT was performed to investigate potential sources of occult bleeding.
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