PMC5925165_01
Endoscopic image showing diffuse, severe gastric ulceration.
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U/L); ALT of 35 (7-56 U/L); alkaline phosphatase of 215 (30-120 U/L); total bilirubin of 1.1 (0.2-1.2 mg/dL); albumin of 3.1 (3.5-5.5 g/dL); lipase of 68 (0-160 U/L); and CA 27-29 tumor marker of 599 (normal < 38 U/ml). CT scan of the abdomen and pelvis without contrast showed diffuse gastric antral thickening. UGI endoscopy showed diffuse, severe gastritis and extensive antral ulceration (Figure 1).
(a) Low-power gastric histology showing multiple black yttrium-90 spheres. (b) High-power histology showing a typical black, gastric yttrium-90 sphere.
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On histologic examination, black, spherical foreign bodies consistent with yttrium microspheres were visualized, documenting radiation-induced gastric ulceration. (Figures 2(a) and 2(b)).