Diffuse hemorrhagic gastroenteropathy: Report of a new entity

Vitaly A. Fishbein, Arnold M. Rosen, Ernest E. Lack, Elizabeth A. Montgomery, David Fleischer

Research output: Contribution to journalArticle

Abstract

An apparently novel entity, diffuse hemorrhagic gastroenteropathy (DHG), in a 70-year-old female who had an unremitting course of chronic gastrointestinal blood loss for 3 years requiring transfusion of more than 200 units of packed red blood cells over this period is reported here. Endoscopy showed diffusely hemorrhagic mucosa in the stomach, duodenum, and small bowel. Full-thickness biopsy of the stomach and small intestine revealed luminal narrowing of capillaries and postcapillary venules within the lamina propria due to swelling and some proliferation of the endothelial cells with margination and emigration by neutrophils as well as partial occlusion of some vessels by fibrin thrombi. DHG may represent a new entity characterized by mucosal hemorrhage due to local mucosal ischemia of the gastrointestinal tract secondary to a small vessel "vasculopathy" apparently restricted to this site.

Original languageEnglish (US)
Pages (from-to)500-505
Number of pages6
JournalGastroenterology
Volume106
Issue number2
DOIs
StatePublished - Feb 1994
Externally publishedYes

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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