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Erosive antral gastritis

Case contributed by Matt A. Morgan
Diagnosis certain

Presentation

History of longstanding use of nonsteroidal anti-inflammatory drugs (NSAIDs).

Patient Data

Age: 25 years
Gender: Male

Double contrast upper GI study

Barium

There are multiple tiny erosions with surrounding radiolucent mounds of edema in the distal gastric antrum, compatible with erosive antral gastritis.

Annotated images

Annotated image

The yellow ovals indicate some of the gastric antral erosions.

Case Discussion

Longstanding NSAID use (in this case, for migraine headaches) predisposes a patient to antral gastritis, and in this patient small oval lucencies in the gastric antrum are compatible with antral gastritis and mucosal erosions. Since the lucencies are small (2-3 mm), the term "erosion" is favored; larger lucencies are usually termed "ulcers."

A follow up upper endoscopy confirmed the findings.

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