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[Watermelon stomach: a cause of chronic blood loss in the elderly].
Harefuah. 1996 Mar 01; 130(5):313-5, 359.H

Abstract

Watermelon stomach, or gastric vascular ectasia, is a relatively new, distinct clinical entity. This rare vascular abnormality of the stomach causes severe chronic blood loss and iron-deficiency anemia, particularly in the elderly. Endoscopically it is characterized by longitudinal antral folds which contain visible vessels radiating from the pylorus, and resembling the dark stripes on the surface of some watermelons. This endoscopic picture may easily be misinterpreted as antral hemorrhagic gastritis. The specific histologic features which establish the diagnosis on endoscopic biopsy are dilation and thrombosis of mucosal capillaries and fibromuscular hyperplasia of the lamina propria. Associated diseases, including achlorhydria, pernicious anemia and chronic liver disease have been reported. We recently encountered 2 cases of watermelon stomach associated with pernicious anemia and hypothyroidism. This entity should be considered in the differential diagnosis of iron-deficiency anemia.

Authors+Show Affiliations

Family Medicine Dept., Medical Center of the Emek, Afula.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

heb

PubMed ID

8707174

Citation

Eilat-Tsanani, S, et al. "[Watermelon Stomach: a Cause of Chronic Blood Loss in the Elderly]." Harefuah, vol. 130, no. 5, 1996, pp. 313-5, 359.
Eilat-Tsanani S, Trougouboff P, Nussinson E. [Watermelon stomach: a cause of chronic blood loss in the elderly]. Harefuah. 1996;130(5):313-5, 359.
Eilat-Tsanani, S., Trougouboff, P., & Nussinson, E. (1996). [Watermelon stomach: a cause of chronic blood loss in the elderly]. Harefuah, 130(5), 313-5, 359.
Eilat-Tsanani S, Trougouboff P, Nussinson E. [Watermelon Stomach: a Cause of Chronic Blood Loss in the Elderly]. Harefuah. 1996 Mar 1;130(5):313-5, 359. PubMed PMID: 8707174.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Watermelon stomach: a cause of chronic blood loss in the elderly]. AU - Eilat-Tsanani,S, AU - Trougouboff,P, AU - Nussinson,E, PY - 1996/3/1/pubmed PY - 1996/3/1/medline PY - 1996/3/1/entrez SP - 313-5, 359 JF - Harefuah JO - Harefuah VL - 130 IS - 5 N2 - Watermelon stomach, or gastric vascular ectasia, is a relatively new, distinct clinical entity. This rare vascular abnormality of the stomach causes severe chronic blood loss and iron-deficiency anemia, particularly in the elderly. Endoscopically it is characterized by longitudinal antral folds which contain visible vessels radiating from the pylorus, and resembling the dark stripes on the surface of some watermelons. This endoscopic picture may easily be misinterpreted as antral hemorrhagic gastritis. The specific histologic features which establish the diagnosis on endoscopic biopsy are dilation and thrombosis of mucosal capillaries and fibromuscular hyperplasia of the lamina propria. Associated diseases, including achlorhydria, pernicious anemia and chronic liver disease have been reported. We recently encountered 2 cases of watermelon stomach associated with pernicious anemia and hypothyroidism. This entity should be considered in the differential diagnosis of iron-deficiency anemia. SN - 0017-7768 UR - https://www.unboundmedicine.com/medline/citation/8707174/[Watermelon_stomach:_a_cause_of_chronic_blood_loss_in_the_elderly]_ L2 - http://www.diseaseinfosearch.org/result/7448 DB - PRIME DP - Unbound Medicine ER -