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Endoscopy 2005; 37(9): 927
DOI: 10.1055/s-2005-870437
Images in Focus
© Georg Thieme Verlag KG Stuttgart · New York

Ischemic Gastropathy: Leopard Skin in the Stomach

T. C. Lee1 , J. T. Lin1 , C. W. Liang2 , H. P. Wang3
  • 1Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan
  • 2Department of Pathology, National Taiwan University Hospital, Taipei, Taiwan
  • 3Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan
Further Information

H.-P. Wang, M. D.

Departments of Emergency Medicine
National Taiwan University Hospital

No. 7, Chung-Shan South Road
Taipei
Taiwan

Fax: +886-2-23223150

Email: whp@ha.mc.ntu.edu.tw

Publication History

Publication Date:
22 August 2005 (online)

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Table of Contents
    Zoom Image

    Figure 1 A 73-year-old woman was admitted to the emergency department for a cardiac arrest that occurred outside the hospital. After resuscitation, upper gastrointestinal endoscopy was performed because of gastrointestinal bleeding. The endoscopic view of the gastric antrum showed numerous reddish patches of subepithelial hemorrhage, mimicking the appearance of leopard skin.

    Zoom Image

    Figure 2 Pathological examination of the biopsy specimen revealed ischemic gastropathy. Note the cytoplasmic vacuolization and hyalinization of the degenerative epithelial cells. The paucity of inflammatory cells distinguished the ischemia from infection (hematoxylin & eosin stain; original magnification × 100).

    H.-P. Wang, M. D.

    Departments of Emergency Medicine
    National Taiwan University Hospital

    No. 7, Chung-Shan South Road
    Taipei
    Taiwan

    Fax: +886-2-23223150

    Email: whp@ha.mc.ntu.edu.tw

    H.-P. Wang, M. D.

    Departments of Emergency Medicine
    National Taiwan University Hospital

    No. 7, Chung-Shan South Road
    Taipei
    Taiwan

    Fax: +886-2-23223150

    Email: whp@ha.mc.ntu.edu.tw

       Permissions and Reprints
    Zoom Image

    Figure 1 A 73-year-old woman was admitted to the emergency department for a cardiac arrest that occurred outside the hospital. After resuscitation, upper gastrointestinal endoscopy was performed because of gastrointestinal bleeding. The endoscopic view of the gastric antrum showed numerous reddish patches of subepithelial hemorrhage, mimicking the appearance of leopard skin.

    Zoom Image

    Figure 2 Pathological examination of the biopsy specimen revealed ischemic gastropathy. Note the cytoplasmic vacuolization and hyalinization of the degenerative epithelial cells. The paucity of inflammatory cells distinguished the ischemia from infection (hematoxylin & eosin stain; original magnification × 100).