Endoscopy 2002; 34(4): 354
DOI: 10.1055/s-2002-23637
Images in Focus

© Georg Thieme Verlag Stuttgart · New York

Upper Gastrointestinal Bleeding From Leukemic Gastric Implants

J.  Nackley, II1 , J.  Barthel1 , D.  Coppola1
  • 1Moffitt Cancer Center, University of South Florida, Tampa, Florida, USA
Further Information

J. Nackley II, M.D.

University of South Florida
Office of James S. Barthel, M.D.

Moffitt Cancer Center
12902 Magnolia Drive
Tampa, FL 33612
USA

Fax: + 1-813-979-7229

Email: barthejs@moffitt.usf.edu

Publication History

Publication Date:
03 April 2002 (online)

Table of Contents
    Zoom Image

    Figure 1 A 23-year-old woman admitted with an acute myelogenous leukemic blast crisis, developed thrombocytopenia, melena, and anemia. An esophagogastroduodenoscopy was performed, revealing an erythematous, friable mucosa with multiple white plaques lining the entire gastric mucosa. A small feeding tube was in place

    Zoom Image

    Figure 2 The stomach biopsy revealed fragments of ulcerated gastric mucosa involved by a marked leukemic infiltrate which was focally replacing the gastric pits. A special stain for fungi (GMS) revealed fungal forms within the fibrinopurulent exudate (hematoxylin and eosin × 250; GMS stain × 100)

    J. Nackley II, M.D.

    University of South Florida
    Office of James S. Barthel, M.D.

    Moffitt Cancer Center
    12902 Magnolia Drive
    Tampa, FL 33612
    USA

    Fax: + 1-813-979-7229

    Email: barthejs@moffitt.usf.edu

    J. Nackley II, M.D.

    University of South Florida
    Office of James S. Barthel, M.D.

    Moffitt Cancer Center
    12902 Magnolia Drive
    Tampa, FL 33612
    USA

    Fax: + 1-813-979-7229

    Email: barthejs@moffitt.usf.edu

    Zoom Image

    Figure 1 A 23-year-old woman admitted with an acute myelogenous leukemic blast crisis, developed thrombocytopenia, melena, and anemia. An esophagogastroduodenoscopy was performed, revealing an erythematous, friable mucosa with multiple white plaques lining the entire gastric mucosa. A small feeding tube was in place

    Zoom Image

    Figure 2 The stomach biopsy revealed fragments of ulcerated gastric mucosa involved by a marked leukemic infiltrate which was focally replacing the gastric pits. A special stain for fungi (GMS) revealed fungal forms within the fibrinopurulent exudate (hematoxylin and eosin × 250; GMS stain × 100)