Ménétrier’s disease
DOI:
https://doi.org/10.22491/2357-9730.125273Keywords:
Thromboembolism, anemia, hypertrophic gastropathy, differential diagnosis of hypertrophic gastropathy, Ménétrier’s diseaseAbstract
The article discusses the case of a 32-year old, black woman, with a 10-year history
of chronic anemia and a cerebral abscess in 1996. She came to the Emergency
Room at Hospital de Clínicas de Porto Alegre with a 15-day history of progressive
dyspnea and pleural chest pain. She had signs of respiratory distress, diminished
vesicular breath sounds at both lung bases, and peripheral edema. Abdominal
ultrasonographic examination showed hepatomegaly and thickened gastric walls.
Esophagogastroduodenoscopy showed an infiltrating lesion in the gastric fundus and
body, and a polypoid lesion in the gastric fundus. Endosonography showed an increase
in gastric mucosal and submucosal thickness. On the 6th day after admission, the
patient had an episode of pulmonary thromboembolism. She was submitted to
exploratory laparotomy. Abdominal lymph biopsy and liver biopsy were performed. The
patient had an episode of venous thrombosis in the right superior limb. Subsequently,
she presented anasarca and poor general state. On the 60th day, she presented dyspnea, and died as a result of cardiorespiratory arrest.
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