A 37- year- old female presented with a history of epigastric pain of 8 weeks duration .. The pain had an intensity of 7/10 and was a burning type of pain with no reference or radiation. She stated that for the previous two weeks her pain would get aggravated by food intake. and she described this phenomenon for the past 2 weeks only .She denied any alarming symptoms in the form of loss of appetite and weight loss . There was no history of vomiting or melena .
Clinical examination and Investigations :
Her clinical examination was normal
Evaluation, her hemoglobin levels were 14 gm/dl . She had a normal leuckoucyteic count, and tests on Lliver function , and renal function were normal . Serum Llipase and Aamylase levels were not elevated .
An ultrasound of her abdomen did not show presence of gall stones and all other organs were normal.
She underwent upper gastrointestinal (GI) endoscopy keeping in view her severe symptoms and to rule out a gastric ulcer due to the pain getting aggravated by food .
The An upper gastroscopic examination revealed normal esophagus and the stomach showed as follows .WHAT IS YOUR DIAGNOSIS ? Follow next week for answer
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| Fig : Endoscopic picture showing lesion in the antral area .DIAGNOSIS? |
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