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Digestive Diseases and Sciences

, Volume 63, Issue 10, pp 2541–2546 | Cite as

Upper Gastrointestinal Bleeding of Unusual Causation

  • Chinemerem J. Okwara
  • Rishabh Gulati
  • Tarun Rustagi
  • Aleksandr Birg
  • Joshua Hanson
  • Denis McCarthy
UNM CLINICAL CASE CONFERENCES

Case Presentation

A 70-year-old Hispanic male with a history of end-stage renal disease requiring intermittent hemodialysis, type 2 diabetes mellitus, and hypertension was initially evaluated in the hospital with ongoing copious hematemesis and bloody stools, dizziness, and shortness of breath. He denied any preceding abdominal pain, nausea, or vomiting. He had no history of chronic liver disease and had not used any nonsteroidal anti-inflammatory drugs. Five years previously, the patient had experienced an upper gastrointestinal hemorrhage, during which an EGD had revealed a large ulcer in the pre-pyloric region: Biopsies taken at that time showed gastric antral-type mucosa with severe chronic active gastritis, but without the presence of H. pylori-like organisms. An H. pylori stool antigen at that time was positive, and the patient was treated with amoxicillin, clarithromycin, and pantoprazole for 14 days: Confirmatory post-treatment stool testing for H. pyloriantigen was not...

Keywords

Sevelamer Renagel Renvela Pseudotumor Gastritis Gastric ulcer Ulcer complications Gastrointestinal symptoms Gastrointestinal bleeding End-stage renal disease Renal failure Dialysis 

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Chinemerem J. Okwara
    • 1
  • Rishabh Gulati
    • 1
  • Tarun Rustagi
    • 1
  • Aleksandr Birg
    • 1
  • Joshua Hanson
    • 2
  • Denis McCarthy
    • 1
  1. 1.Division of Gastroenterology and Hepatology, Department of MedicineUniversity of New Mexico School of MedicineAlbuquerqueMexico
  2. 2.Department of PathologyUniversity of New Mexico School of MedicineAlbuquerqueMexico

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