A 72-year-old woman with well-compensated alcoholic cirrhosis (Child-Pugh A) is referred due to persistent iron deficiency anaemia.
She denies haematemesis, melaena, or overt GI bleeding. Stool occult blood is intermittently positive. She has received several blood transfusions over the past year.
An upper endoscopy reveals no oesophageal or gastric varices.
However, the antral mucosa appears diffusely erythematous with subtle linear red streaks radiating from the pylorus. There is no active bleeding, and no ulcers are seen. Biopsies show mucosal vascular dilation and fibrohyalinosis.
What is the most likely diagnosis?
More from Year 4
See allA a 68-year-old man with a history of gastroesophageal reflux disease presents with worsening kidney function over the past two weeks. He started a proton pump…
A 54-year-old man with no family history of prostate cancer attends his GP for a routine check-up. He is asymptomatic and has no significant past medical histor…
A 58-year-old man with no symptoms attends your clinic for a general health check. He is concerned because his uncle and cousin both died of pancreatic cancer.…
A 60-year-old man with a history of chronic diarrhea presents with muscle weakness and lethargy. Laboratory tests show: potassium 3.1 mmol/L (3.5-5.0 mmol/L), b…
A 50-year-old man presents to the emergency department with confusion, rapid breathing, and general weakness. He has a history of chronic kidney disease. On exa…