IS case 485: Benign gastric ulcer

Narasimhachar Prativadi, MD

University of Rochester

Imaging Sciences URMC 2010
Publication Date: 2010-08-30

History

Patient is a 53-year-old female who presented to the Emergency Department with epigastric pain after a negative cardiac work-up.

Findings

Benign ulcer at the posterior wall of the antrum of the stomach. Images showed thin regular mucosal folds that extend up to the crater edge.

Diagnosis

Benign gastric ulcer

Discussion

This patient has a benign ulcer at the posterior wall of the antrum of the stomach. This ulcer has some of the signs of a typical benign ulcer. The ulcer is round, there are mucosal folds that extend past the surrounding edema up to the crater, and radiating gastric folds that symmetric and smooth. The majority of the benign ulcers occur along the posterior wall of the antrum or body of the stomach, or the lesser curvature. The anterior wall and the greater curvature are more unusual locations for benign ulcers.

References

1. Johnson CD, Schmit GD. Mayo Clinic Gastrointestinal Imaging Review. Rochester, MN: Mayo Clinic Scientific Press, 2005.
2. Weissleder R, Wittenberg J, Harisinghani MG, et al. Primer of Diagnostic Imaging, 4th ed. Philadelphia: Mosby Elsevier, 2007.