Gastric antral vascular ectasia: a case report and review of the literature.
We present an 83-yr-old woman with a history of renal insufficiency, diabetes and idiopathic purpura (ITP) who experienced recurrent hemorrhage from gastric antral vascular ectasias (GAVE).


METHODS
Extensive evaluation consisting of barium small bowel series, colonoscopy, abdominal CT scan and visceral angiography excluded other causes of bleeding.


RESULTS
After 99mTc-labeled red cell imaging to localize the bleeding to the antrum, an antrectomy was performed. Seven months postsurgery, the patient experienced no further hemorrhage.


CONCLUSIONS
99mTc-labeled red cell scans can be used for the diagnosis of GAVE.
Herman
B E
BE
Twin Rivers Gastroenterology Center, Easton, Pennsylvania, USA.
Vargo
J J
JJ
Baum
S
S
Silverman
E D
ED
Eisold
J
J
D000368:Aged; D000369:Aged, 80 and over; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D003937:Diagnosis, Differential; D004108:Dilatation, Pathologic / Q000150:complications / Q000000981:diagnostic imaging; D004912:Erythrocytes; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D016553:Purpura, Thrombocytopenic, Idiopathic / Q000150:complications; D011706:Pyloric Antrum / Q000098:blood supply*; D011877:Radionuclide Imaging; D051437:Renal Insufficiency / Q000150:complications; D013667:Technetium
D013667:Technetium