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Chronic erosive gastritis
Stomach, Corpus
Haematoxylin & Eosin (H&E)
85 years
The 85 year old female patient presented in the emergency department complaining of nausea and repeated vomiting since 1 day. Absence of abdominal pain. Gastroscopy showed an axial hernia and a small ulceration in the antrum ventriculi. The patient was treated with Pantozol/Pantoprazol for 8 weeks. A follow-up examination (gastroscopy) after 8 weeks was recommended.
Mucosa of the gastric corpus and antrum showing moderate chronic inflammation with focal erosions (third fragment from the top). Sporadic depiction of lymphoid aggregates, angiectasia and focal fibro-muscular obliteration of the mucosal stroma. Absence of intestinal metaplasia. Absence of helicobacter pylori.
The histomorphologic findings are compatible with a toxic gastropathy.
Philipp Granacher, University of Basel
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