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Related Concept Videos

Gastritis III: Clinical Manifestations and Management01:23

Gastritis III: Clinical Manifestations and Management

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The clinical manifestations of gastritis can vary depending on the cause and type of gastritis, but some common symptoms may include the following.
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
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Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

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Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
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Gastritis-I: Introduction and Types01:27

Gastritis-I: Introduction and Types

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Gastritis, defined by the inflammation or irritation of the stomach lining or gastric mucosa, manifests in several distinct forms: acute, chronic, reactive, and a specific subtype known as autoimmune metaplastic atrophic gastritis.
Acute gastritis presents as a sudden inflammation triggered by various stressors to the stomach lining, such as exposure to corrosive agents, local irritants like aspirin and other NSAIDs, alcohol consumption, radiation therapy, physical trauma, severe burns, sepsis,...
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Related Experiment Video

Updated: Oct 12, 2025

Author Spotlight: Point-of-Care Ultrasound for Gastric Content Assessment and Risk Stratification in Perioperative Care
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Author Spotlight: Point-of-Care Ultrasound for Gastric Content Assessment and Risk Stratification in Perioperative Care

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Gastric Mass: Intramural Hematoma.

Kathryn Schwalbe1, Abhiram Kondajji2, Matthew T Allemang2

  • 1Surgery, Cleveland Clinic- South Pointe Hospital, Warrensville Heights, USA.

Cureus
|November 23, 2021
PubMed
Summary

Diagnosing gastric masses pre-operatively is difficult due to varied presentations. A bleeding gastric mass, initially suspected as a gastrointestinal stromal tumor, was ultimately found to be a benign ulcerated hematoma.

Keywords:
gastric bleedgastric tumorgastric ulcermasspartial gastrectomy

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Area of Science:

  • Gastroenterology and Surgical Oncology
  • Diagnostic challenges in oncology

Background:

  • Gastric masses present heterogeneously, complicating pre-operative diagnosis.
  • Common gastric masses like peptic ulcers, adenocarcinoma, and gastrointestinal stromal tumors require distinct management strategies.
  • Accurate pre-operative diagnosis is crucial for appropriate patient management.

Observation:

  • A patient presented with a bleeding gastric mass.
  • Initial diagnostic work-up suggested a gastrointestinal stromal tumor.
  • The mass's presentation mimicked more common malignant gastric lesions.

Findings:

  • Final pathological examination revealed the gastric mass to be an ulcerated hematoma.
  • The lesion was benign, contrary to initial suspicions.
  • This case highlights the diagnostic challenges and potential for misdiagnosis.

Implications:

  • Emphasizes the need for careful pathological evaluation of gastric masses.
  • Underscores the importance of considering benign etiologies even with concerning presentations.
  • Informs clinical practice regarding the differential diagnosis and management of gastric bleeding lesions.