Case A 54-year-old female presented with a 1-month history of intermittent, burning epigastric abdominal pain that radiated toward her back in a band-like fashion. She also noted nausea but denied having signs of melena, and hematemesis. Medical History She had 2 antral ulcers 5 years ago.
(Previous endoscopic image attached) Started on lansoprazole, as she could not afford it, she was switched to omeprazole. She also consumed over-the counter analgesic (acetaminophen, aspirin, and caffeine) Examination Patient's abdomen was soft and non-distended Mild tenderness was present over epigastrium Hematocrit was 39.3% Laboratory results were normal Helicobacter pylori results were negative Diagnostics An upper gastrointestinal imaging indicated contrast in both the channels (as indicated in the figure by arrows) An esophagogastroduodenoscopy (EGD) was performed as shown in the last figure.…
