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Ischemic gastropathy with "leopard skin" stomach
Dhairya Gor1, Kyle Wiseman1, Rajvi Gor2
1Department of Internal Medicine, Jersey Shore Medical Center, Neptune, New Jersey.
Proceedings (Baylor University. Medical Center)
|March 6, 2023
Summary
Ischemic gastropathy, a rare condition, presents with shock and bleeding. Early endoscopic recognition of its characteristic "leopard skin" appearance is crucial for diagnosis and management.
Area of Science:
- Gastroenterology
- Internal Medicine
- Pathophysiology
Background:
- Ischemic gastropathy is an uncommon gastrointestinal disorder with a high mortality rate.
- It often manifests with symptoms of shock, gastrointestinal hemorrhage, and anemia.
- Risk factors include conditions leading to reduced splanchnic blood flow.
Observation:
- A patient with alcoholic cirrhosis presented with hemorrhagic shock after a fall.
- Initial upper endoscopy showed active bleeding.
- A subsequent endoscopy revealed the characteristic "leopard skin" pattern in the gastric mucosa.
Findings:
- The patient received supportive care but ultimately did not survive.
- The case highlights the diagnostic challenges and poor prognosis associated with ischemic gastropathy.
- Delayed endoscopic findings, such as the "leopard skin" appearance, are key diagnostic indicators.
Implications:
- Prompt diagnosis and treatment are essential for improving outcomes in ischemic gastropathy.
- Clinicians should maintain a high index of suspicion in patients with risk factors presenting with shock and GI bleeding.
- Increased awareness of this condition and its endoscopic signs can aid in timely intervention.
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