A 13-year-old boy with recurrent iron deficiency anemia since age of four, managed with chronic iron supplementation. Recent recurrence of anemia in the last 6 weeks accompanied by epigastric pain, and several episodes of emesis. Two episodes of vomiting contained blood (hematemesis). Physical and Laboratory Exam Generally well developed, thin, pale male. Abdomen is soft, non-tender, non-distended without masses or organomegaly.
Laboratory examiantions: Hgb 9.8, Hct 32.7, MCV 71.1, Reticulocyte count 2.6, WBC 6.6, platelets 570, stool guaiac positive, CRP 3.86, ESR 23, iron 11. Amylase and lipase are within normal limits. Ultrasound and endoscopy were done and images are attached What is the diagnosis on the basis of the findings of the image? * This case is from Docplexus Editorial Team for educative purpose only.
