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  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">JPSIM</journal-id>
      <journal-title-group>
        <journal-title>Journal of Pakistan Society of Internal Medicine</journal-title>
        <abbrev-title>J Pak Soc Intern Med</abbrev-title>
      </journal-title-group>
      <issn publication-format="print">2709-8729</issn>
      <issn publication-format="electronic">2710-0804</issn>
      <publisher>
        <publisher-name>Pakistan Society of Internal Medicine</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="doi">10.70302/jpsim.v3i3.2249</article-id>
      <article-id pub-id-type="publisher-id">jpsim.v3i3.2249</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Case Report</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>A Case of Chronic Gastric Ischemia with Gastric Ulceration and Anemia</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author" corresp="yes">
          <name>
            <surname>Sapand</surname>
            <given-names>Asmatullah</given-names>
          </name>
          <email>asmatullahsapand@gmail.com</email>
          <xref ref-type="aff" rid="aff1"/>
          <xref ref-type="corresp" rid="cor1">*</xref>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Qamar</surname>
            <given-names>Rukhsar</given-names>
          </name>
          <xref ref-type="aff" rid="aff2"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Saba</surname>
            <given-names>Tahseen</given-names>
          </name>
          <xref ref-type="aff" rid="aff3"/>
        </contrib>
      </contrib-group>
      <aff id="aff1">
        <institution>Department of Internal Medicine</institution>
      </aff>
      <aff id="aff2">
        <institution>Division of Gastroenterology</institution>
      </aff>
      <aff id="aff3">
        <institution>Department of Pathology, Pakistan Institute of Medical Sciences (PIMS)</institution>
      </aff>
      <author-notes>
        <corresp id="cor1">*Correspondence: Asmatullah Sapand (asmatullahsapand@gmail.com)</corresp>
      </author-notes>
      <pub-date date-type="pub" publication-format="electronic" iso-8601-date="2022-09-12">
        <day>12</day>
        <month>09</month>
        <year>2022</year>
      </pub-date>
      <pub-date date-type="collection" publication-format="electronic">
        <year>2022</year>
      </pub-date>
      <volume>3</volume>
      <issue>3</issue>
      <fpage>247</fpage>
      <lpage>249</lpage>
      <history>
        <date date-type="received" iso-8601-date="2022-04-07">
          <day>07</day>
          <month>04</month>
          <year>2022</year>
        </date>
        <date date-type="accepted" iso-8601-date="2022-06-24">
          <day>24</day>
          <month>06</month>
          <year>2022</year>
        </date>
      </history>
      <permissions>
        <copyright-statement>Copyright © 2022 The Author(s)</copyright-statement>
        <copyright-year>2022</copyright-year>
        <copyright-holder>The Author(s)</copyright-holder>
        <ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/>
        <license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by/4.0/">
          <ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by/4.0/</ali:license_ref>
          <license-p>This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
        </license>
      </permissions>
      <self-uri xlink:href="https://psimj.com/article/jpsim.v3i3.2249" content-type="text/html"/>
      <self-uri xlink:href="https://psimj.com/article/jpsim.v3i3.2249.pdf" content-type="application/pdf"/>
      <abstract>
        <p>We present the patient case of a 42-year-old woman with clinically significant abdominal pain and repeated episodes of gastrointestinal bleeding, who was ultimately diagnosed with chronic gastric ischemia with recurrent gastric ulcers. Current clinical literature suggests that gastric ischemia is more common than previously thought. A higher degree of suspicion for such relatively rare presentation may be required in the clinical setting.</p>
      </abstract>
      <kwd-group xml:lang="en" kwd-group-type="author-keywords">
        <title>Keywords</title>
        <kwd>Ischemia</kwd>
        <kwd>Atherosclerosis</kwd>
        <kwd>Gastric Ulceration</kwd>
        <kwd>Gastrointestinal Bleeding</kwd>
        <kwd>Abdominal Pain</kwd>
        <kwd>Mesenteric</kwd>
      </kwd-group>
    </article-meta>
  </front>
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  <back>
    <ref-list>
      <title>References</title>
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  </back>
</article>
