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Case Reports
. 2004 Jun 15;10(12):1838-40.
doi: 10.3748/wjg.v10.i12.1838.

Gastric ulcer penetrating to liver diagnosed by endoscopic biopsy

Ertugrul Kayacetin  1 , Serra Kayacetin
Affiliations
Case Reports

Gastric ulcer penetrating to liver diagnosed by endoscopic biopsy

Ertugrul Kayacetin et al. World J Gastroenterol. .

Abstract

Liver penetration is a rare but serious complication of peptic ulcer disease. Usually the diagnosis is made by operation or autopsy. Clinical and laboratory data were no specific. A 64-year-old man was admitted with upper gastrointestinal bleeding. Hepatic penetration was diagnosed as the cause of bleeding. Endoscopy showed a large gastric ulcer with a pseudotumoral mass protruding from the ulcer bed. Definitive diagnosis was established by endoscopic biopsies of the ulcer base.

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Figures

Figure 1
Figure 1
Endoscopic photograph showing a giant deep ulcer (about 4.5 cm in diameter) with malignant appearance (arrow).
Figure 2
Figure 2
Longitudinal ultrasound scan showing the target like appearance (arrows) representing the giant ulcer seen on gastroscopy.
Figure 3
Figure 3
Endoscopic biopsy showing granulation tissue (arrowhead) adjacent to normal-appearance hepatocytes (arrow) (HE ×20).
See this image and copyright information in PMC

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