A 68-year-old man presented with repeated vomiting, anemia, and dyspepsia was admitted to the endoscopy unit. The patient underwent upper
digestive endoscopy. The scope revealed narrowing of the pyloric canal and
severe inflammation with food stuck to the mucosa. Multiple biopsies were
taken. Histopathology revealed severe inflammation. The patient was admitted
again to the endoscopy unit. Computed tomography is ordered, but the patient
can't do it because of repeated vomiting and the inability to drink contrast
dye. Another upper digestive endoscopy revealed narrowing of the pyloric canal
and thickening of the pyloric area with necrotic mucosa. Extensive biopsies
were taken. Histopathology revealed severe inflammation, and the
pathologist ordered immunophenotyping.
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