PMC4961227_01
(a) Ianitial upper GI endoscopy - Forrest 2a antral ulcer on a background of non-erosive gastritis. (b) Second upper GI endoscopy - Evolving antral haematoma and fresh bleeding.
gr1.jpg
PMC4961227_01_gr1.jpg
fig0005
Hence the source of bleeding could not clearly identified (Fig. 1a). A significant antral submucosal hematoma had begun developing along the anterior wall of the antrum (Fig. 1b).
(a) After opening lesser sac and creating posterior wall gastrostomy - Anterior gastric wall intramural submucosal haematoma with mucosal lacerations.
gr2.jpg
PMC4961227_01_gr2.jpg
fig0010
At laparotomy, it was apparent that a large haematoma had occupied the anterior aspect of the stomach causing extensive serosal stretch from fundus to pylorus (Fig. 2a).