Abstract
Gastric antral vascular ectasia (GAVE) is a rare cause for chronic severe gastrointestinal bleeding requiring repeated transfusions. We present here the case of 55-year-old female who presented with severe iron deficiency anemia with melena. The disease was further diagnosed as GAVE due to the presence of watermelon stomach on endoscopy with features of limited scleroderma. The patient showed symptomatic improvement on treatment with Argon laser photocoagulation and blood transfusion.
Highlights
Case report A 55-year-old female presented to the OPD clinic with dyspnea on exertion, easy fatigability, and melena
Results of upper gastrointestinal (UGI) endoscopy showed hyperemic streaks alternating with normal mucosa (Fig. 1 and 2), suggestive of gastric antral vascular ectasia (GAVE)
The syndrome was first described by Ryder et al in 1953 and the term ‘watermelon stomach’ was first coined by Jabbari et al.[1, 2, 3]
Summary
Case report A 55-year-old female presented to the OPD clinic with dyspnea on exertion, easy fatigability, and melena. No skin lesions suggestive of dermatomyositis were reported. Other systems examinations were within normal limits.
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