Gastric ulcer associated ...

An 84-year-old woman presented for repeat gastroscopy for follow-up of a benign gastric ulcer. She gave a 12-month history of worsening abdominal pain, nausea, non-feculent vomiting, diarrhea and approximately 20 kgs weight loss. She denied any hematemesis, melena, or fever. At presentation our patient was frail and emaciated. Regarding clinical examination, there were no abnormal abdominal findings. A chronic gastric ulcer on the greater curve of her stomach had been first diagnosed at gastroscopy eighteen months earlier. Since then, she had undergone four further gastroscopies without any change.