A patient evaluated for chronic iron deficiency anaemia - Answers

ABSTRACT

(Refer to page 49) Answer: Gastric antral vascular ectasia or Watermelon stomach The endoscopy showed several antral inflammatory folds with linear red stripes running at the crests of the folds or parallel to the folds. These erythematous stripes are vascular ectasia, dilated vascular channels located within the mucosa and submucosa. Histology typically show fibromuscular hyperplasia of the lamina propria and dilated vascular channels with clots (Panel a). Special staining for vascular endothelium will show increase density (Panel b).