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The Old Endoscopy Quiz (and Answer) of the Month
August 2000

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Question:

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This old lady visited the emergency department because of acute coronary symptoms, and the reasons for these proved to be a severe iron deficiency anaemia, with a hemoglobin level below 50% of normal. She had not any gastrointestinal symptoms at all. This is the finding during upper endoscopy, in the proximal part of her gastric antrum. What is this finding?

Answer

A benign ulcerated gastric leiomyoma

Answers were emailed by:

DOKAS STEFANOS, THESSALONIKI, GREECE
Germán Lloret-Salom, Alzira, España
GUTEMBERGH NÓBREGA, NATAL, BRASIL/RN
annabella, viña del mar, chile
Ervin Toth, Malmoe, Sweden
Kouklakis George, Thessaloniki, Greece
Mosese ME, Qwaqwa, South Africa
Jose Filipe Alvares, Bangalore, India
IGNACIO HANNA JAIRALA, GUAYAQUIL, ECUADOR
Curt Tysk, Orebro, Sweden
Lars G Salde, Lund, Sweden
Austin, Plantation, FL-USA
Kathy Jones, Humble, USA
J. Roure, Girona, Spain
Rogerio Godinho, Barreiro, Portugal
yashmin, Auckland, New-Zealand
Fernando X. Kon, Portoviejo, Ecuador
Caio Rossi, santa cruz do sul, Brasil/RS
Spyros Siafikos, Koridallos, Greece
Richard Räihä, Vasa, FINLAND - Hi Riki!
Dimofte Gabriel, Iasi, Romania
Angelo Termini, Umeå, Sweden
PARABOLI SILVA, Marcio Luiz MD, CAMPO MOURAO, PARANA -BRAZIL

Comments:

Ulcerated gastric schwanoma. I wonder if the patient had a barium UGI studies in the previous day since the detritus in the ulecer base gives that impression.

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