PMC3985792_01
Upper digestive endoscopy in a 33-year-old man with abdominal pain, anorexia and weight loss. The images demonstrated heterogeneous lesions, with a giant and deep ulcer of the bulb with a mild stenosis.
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F1
Upper digestive endoscopy showed a giant ulcer covering the whole surface of the bulb (fig. 1).
Deep gastric fissuring ulceration with extension of the inflammatory process at the pancreatic gland (hematoxylin-eosin stain; original magnification: a x2, b x40). a Pancreatic glands (alpha), deep fissuring ulceration (beta), abrupt gastric mucosa ulceration (Delta), normal gastric mucosa (gamma). b High magnification of the stamp on the top left corner; polymorphic inflammatory infiltrate in contact with hyperplastic pancreatic nerve fibers.
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F2
Histological analysis reported a large fissuring pylorus ulceration with micro abscesses reaching the pancreas (fig. 2).