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A rare acute gastritis in a teenager
Marta Tavares, Francisco Ribeiro Mourão, Helena Moreira Silva, Gisela Silva, Rosa Lima
Unidade de gastroenterologia pediátrica, Centro Materno Infantil do Norte, CHPorto
Sickle-cell anemia (SCA) associated vaso-occlusive events can occur in any organ but severe ischemic gastritis is rare. A 17-years' old female with SCA was admited for PEG substitution. Past medical history included multiple vaso-occlusive complications (4 strokes). She had no recent infections, behavioural or feeding changes. Upper endoscopy revealed increased friability, necrosis, extensive ulceration and cicatricial tissue at gastric antrum and corpus, but normal mucosa elsewhere. Histological findings included epithelial detachment, superficial mucosal erosion and unspecific chronic gastritis. Urgent CT angiography showed no signs of ischemic lesions. Conservative approach (feeding rest, intravenous hyperhydration and esomeprazol) led to a healed mucosa.
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