Lantink J A, Meijer A H, Cluysenaer O J
Eemland Zickenhuis, locatie E.G.Z., afd. Inwendige Geneeskunde, Amersfoort.
Ned Tijdschr Geneeskd. 1990 Oct 13;134(41):2008-11.
The watermelon stomach or 'gastric antral vascular ectasia' is a rare clinical entity. It may cause persistent blood loss. The endoscopic picture is highly characteristic and consists of parallel erythematous folds in the antrum. Histological characteristics are: dilated mucosal capillaries and venules, containing fibrin thrombi, along with fibromuscular hyperplasia in the lamina propria. In case of severe blood loss partial resection of the stomach or laser photocoagulation is often necessary.
西瓜胃或“胃窦血管扩张症”是一种罕见的临床病症。它可能导致持续性失血。内镜检查图像具有高度特征性,表现为胃窦部平行的红斑样皱襞。组织学特征为:黏膜毛细血管和小静脉扩张,含有纤维蛋白血栓,同时固有层存在纤维肌肉增生。在严重失血的情况下,通常需要进行胃部分切除术或激光光凝治疗。