Case Report

A Case of Chronic Gastric Ischemia with Gastric Ulceration and Anemia

Asmatullah Sapand1
Department of Internal Medicine
Rukhsar Qamar2
Division of Gastroenterology
Tahseen Saba3
Department of Pathology, Pakistan Institute of Medical Sciences (PIMS)

✉ Correspondence: Asmatullah Sapand Email: asmatullahsapand@gmail.com

DOI https://doi.org/10.70302/jpsim.v3i3.2249
Volume: 3, Issue 3 Pages: 247–249 Published: 12 Sep 2022
Received: 07 Apr 2022 Accepted: 24 Jun 2022 Published Online: 12 Sep 2022

Abstract

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.

Keywords
Ischemia Atherosclerosis Gastric Ulceration Gastrointestinal Bleeding Abdominal Pain Mesenteric

How to Cite This Article

Sapand A, Qamar R, Saba T. A Case of Chronic Gastric Ischemia with Gastric Ulceration and Anemia. J Pak Soc Intern Med. 2022;3(3):247–249. doi:10.70302/jpsim.v3i3.2249

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Conflict of Interest

All authors declare no competing interests.

Disclosed in accordance with ICMJE and COPE guidelines.

Funding

No specific funding was received for this research.

Funder information follows the Crossref Funder Registry standard.

References

  1. Clair DG, Beach JM. Mesenteric Ischemia. N Engl J Med 2016;374(10):959-68.
  2. Elwir S, Shaukat A, Mesa H, et al. Ischemic gastritis: a multicenter case series of a rare clinical entity and a review of the literature. J Clin Gastroenterol. 2016;50(9):722-6.
  3. Acosta S. Epidemiology of mesenteric vascular disease: clinical implications. Semin Vasc Surg. 2010;23(1):4-8.
  4. Tang SJ, Daram SR, Wu R, Bhaijee F. Pathogenesis, diagnosis and management of gastric ischemia. Clin Gastroenterol Hepatol. 2014;12(2):246-52.e1.
  5. Emma Lundsmith, Mathew Zheng, Peter McCue. Chronic Gastric Ischemia Leading to Gastric Perforation: ACG Case Rep J 2016;3(4):e194.
  6. Song SY, Chung JW, Kwon JW, Joh JH, Shin SJ, Kim HB, Park JH. Collateral pathways in patients celiac axial stenosis: angiographic-spiral CT correlation. Radiographics. 2002;22(4):881-93.
  7. Ter Steege RW, Sloterdijk HS, Geelkerken RH, Huisman AB, van der Palen J, Kolkman JJ. Splanchnic artery stenosis and abdominal complaints: clinical history is of limited value in detection of gastrointestinal ischemia. World J Surg. 2012;36(4):793-9.

Reference list indexed for Google Scholar and ResearchGate. DOI links resolve via doi.org.

CC BY CC BY 4.0 This article is published under the Creative Commons Attribution 4.0 International License. May be shared and adapted with attribution. © 2022 Journal of Pakistan Society of Internal Medicine.
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