2018-04-09 16:24:38 UTC

Image challenge: A rare cause of whole gastrointestinal duct edema

April 9, 2018

What caused recurrent melena in a 60-year-old patient with a history of alcoholic hepatocirrhosis?

Gastroenterology clinical image challenge: A 60-year-old man complaining of recurrent melena for more than two months, accompanied by fatigue and anemia, was admitted to our gastroenterology ward. He denied experiencing hematemesis, abdominal pain, fever, osteodynia or arthralgia. His medical history included a six-year history of alcoholic hepatocirrhosis and type 2 diabetes mellitus. Colonoscopy found no evidence of hemorrhage. However, gastroduodenoscopy showed multiple polypoid lesions in the duodenum (Figure). An abdominal computed tomography scan was performed. 

What is the underlying condition leading to the endoscopic and computed tomography findings?

To find out the diagnosis, read the full case in Gastroenterology or download our Clinical Image Challenge app through AGA App Central, which features new cases each week. Sort and filter by organ, most popular or favorites. AGA App Central is available in both the Apple App Store and Google Play.