Case presentation: A 49-year-old male was presented to the digestive department with complaints of vomiting, dyspepsia, epigastric pain, nausea, and gastric reflux for four months. He did not have any particular comorbidities or a specific diet recommendation, except for recurrent jujubes ingestion. He appeared anemic; however, there was no change in weight loss. Besides, abdominal tenderness was noted, and the rest of the physical examination was regular.
Medical history: Controlled hypertension for three years and No alcohol, medication, family risk factors, and drug treatments for any other illness. Laboratory investigations: Hemoglobin level: 11.5 g/dL An upper GI X-ray with air contrast displayed a distended stomach partially filled with debris and a normally filled duodenum. Findings of the upper GI endoscopy performed are shown in the cover image. Based on the case presented…