This case report describes a 50-year-old female patient with liver cirrhosis presented with anemia. She was found to be suffering from gastric antral vascular ectasia (watermelon stomach) on upper gastrointestinal endoscopy. She underwent multiple sessions with Argon plasma coagulation, a non-contact thermal method of hemostasis for the management of watermelon stomach. After 3 sessions, the lesions disappeared and the hemoglobin increased by 2.4 gm/dl without any need of transfusion.
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Article Synopsis
- Gastric antral vascular ectasia is a rare condition that primarily causes severe gastrointestinal bleeding in older adults, particularly affecting the gastric antrum, and is uncommon among patients undergoing hemodialysis for chronic kidney disease.
- A case is presented involving a 71-year-old male from Nepal who was diagnosed with this condition alongside erosive gastritis after experiencing symptoms like melena and fatigue, leading to a low hemoglobin level and the need for blood transfusion.
- Diagnosis was confirmed through an upper gastrointestinal endoscopy, and despite initial management, advanced treatment like argon plasma coagulation was required at a different facility due to limited resources.
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