A 16-year-old male with a 14-month history of postprandial vomiting was admitted to an outpatient clinic with complaints of hematemesis. History Nonsmoker Suffering from fatigue Dysphagia related to solid food Weight loss due to reduced appetite Decline in the body mass index (BMI) from 27.7 kg/m2 to 16.3 kg/m2 Before visiting the present clinic, the patient had consulted at many clinics (including international clinics), but without any conclusive diagnosis Physical examination Pale-colored skin with mild jaundice The abdomen did not show any palpable mass, tenderness, or the presence of rebound tenderness Other physical examinations were unremarkable. Clinical examination An upper gastrointestinal endoscopy (UGE) revealed narrowing of the lower esophageal sphincter along with the presence of a fragile bleeding gastric mass.
This prevented a biopsy examination. A CT scan analysis…
