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Previous Volume 341:1597-1603 November 18, 1999 Number 21 Next

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Presentation of Case

A five-month-old girl was admitted to the hospital because of coffee-grounds vomitus and a gastric lesion.

She had been born of a full-term pregnancy by spontaneous vaginal delivery and was in good health until 1 1/2 months of age, when she began to vomit "chocolate-like" material, which sometimes contained specks of bright red blood. She passed dark stools that were positive for occult blood. A change to an elemental diet resulted in constipation. Six days before admission, an upper gastrointestinal series showed no abnormalities. On the day of admission, an esophagogastroduodenoscopic examination (Figure 1) revealed an erythematous polyp, . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Stephen Hardy's Diagnoses

Pathological Discussion

Anatomical Diagnosis

References

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