A Rare Cause of Upper Gastrointestinal Bleeding, Gastric Antral Vascular Ectasia: A Case Report

Ana L. Romero Socorro¹, Jesus Romero^1, , Janice Lee¹, Abdel-Azez Abu Samak¹, Unzela Iqbal¹ and Naik Arun¹

¹Internal Medicine Department, RWJBarnabas Health/Trinitas Regional Medical Center, Elizabeth, New Jersey, USA.

Cite this paper

Ana L. Romero Socorro, Jesus Romero, Janice Lee, Abdel-Azez Abu Samak, Unzela Iqbal and Naik Arun. A Rare Cause of Upper Gastrointestinal Bleeding, Gastric Antral Vascular Ectasia: A Case Report. American Journal of Medical Case Reports. 2023; 11(6):113-115. doi: 10.12691/AJMCR-11-6-3

Abstract

Gastric antral vascular ectasia (GAVE) is a vascular malformation that causes upper gastrointestinal bleeding (UGIB). It is often discovered incidentally, and it is usually secondary to iron deficiency anemia due to chronic blood loss. Diagnosis of this pathology is primarily done by endoscopy, with direct visualization of the lesions. Multiple treatment options including medical, endoscopic, or surgical are available. We describe a case of a 69-year-old lady who presented with symptomatic anemia and who was found to have Gastric antral vascular ectasia on endoscopy.

Keywords

GAVE, iron deficiency anemia, endoscopy, liver cirrhosis

Copyright

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]	Rider, J.A., Klotz, A.P., Kirsner, J.B. Gastritis with veno-capillary ectasia as a source of massive gastric hemorrhage. Gastroenterol 1953;24:118–123.
[2]	Jabbari, M., Cherry, R., Lough, J.O., et al. Gastric antral vascular ectasia: the watermelon stomach. Gastroenterol 1984;87:1165–1170.
[3]	Ergin, A., Cakmak, A., Basak, A., Ciyiltepe, H., Karip, A., Memisoglu, K. A Rare Cause of Upper Gastrointestinal System Haemorrhage: Gastric Antral Vascular Ectasia. EJMI. 2019; 3(3): 238-240.
[4]	Selinger, C.P., Ang, Y.S. Gastric Antral Vascular Ectasia (GAVE): An Update on Clinical Presentation, Pathophysiology and Treatment. Digestion 2008;77:131-137.
[5]	Cleac’h, A.L., Villeneuve, J.P., Sylvestre, M.P., Huard, G., Giard, J.M., Ditisheim, S. Gastric antral vascular ectasia is more frequent in patients with non-alcoholic steatohepatitis-induced cirrhosis. Canadian Liver Journal. 2019;2(3):84-90.
[6]	Ito, M., Uchida, Y., Kamano, S., Kawabata, H., Nishioka, M. Clinical comparisons between two subsets of gastric antral vascular ectasia. Gastrointest Endosc 2001; 53: 764-70.
[7]	Alkhormi, A.M, Memon, M.Y., Alqarawi, A. Gastric Antral Vascular Ectasia: A Case Report and Literature Review. J Transl Int Med. 2018;6(1):47-51.
[8]	Payen, J.L., Cales, P., Voigt, J.J., et al: Severe portal hypertensive gastropathy and antral vascular ectasia are distinct entities in patients with cirrhosis. Gastroenterol 1995;108:138–144.
[9]	Dias de Castro, F., Carvalho, P., Goncalves T., et al. Treating Gastric Antral Vascular Ectasia – When Argon Therapy Is Not Enough. GE Port J Gastroenterol. 2016; 23(5):249-253.
[10]	Hsu, W.H., Wang, Y.K., Hsieh, M.S., et al. Insights into the management of gastric antral vascular ectasia (watermelon stomach). Therap Adv Gastroenterol. 2018;11:1756283X17747471. Published 2018 Jan 14