Korean J Gastrointest Endosc.
2002 Jul;25(1):30-33.
A Case of Watermelon Stomach Treated by Hemigastrectomy
- Affiliations
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- 1Department of Internal Medicine, College of Medicine and Medical Research Institute, Chungbuk National University, Cheongju, Korea. sjyoun@med.chungbuk.ac.kr
- 2Department of Radiology, College of Medicine and Medical Research Institute, Chungbuk National University, Cheongju, Korea.
- 3Department of Pathology, College of Medicine and Medical Research Institute, Chungbuk National University, Cheongju, Korea.
Abstract
- Gastric antral vascular ectasia (watermelon stomach) is a rare cause of chronic gastrointestinal bleeding, characterized endoscopically by a distinctive appearance of prominent red vascular folds traversing the gastric antrum and radiating to the pyloric sphincter; this appearance has been likened to the dark stripes on the surface of a watermelon. The etiology is unknown, and the usual presentations are iron-deficiency anemia and melena due to chronic gastric blood loss. Diagnosis is made by the characteristic endoscopic appearance and histologic findings. The treatment of choice is not known yet; surgical resection is curative method, but results from endoscopic treatment with heat probes or lasers are promising. We experienced a case of gastric antral vascular ectasia presenting with epigastric pain and melena in a 34-year-old female. The patient was treated with hemigastrectomy and Billroth II anastomosis.
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