A 66-year-old patient, with no relevant medical history, presented with melena. Lab work showed a hemoglobin of 3.8g/dL. Endoscopy identified a large orifice on the anterior side of the antrum, towards the incisure, which led to a deep, excavated cavity with an extensive back wall that was bloody in appearance. Biopsies ruled out malignancy.
Abdominal computed tomography revealed a large ulceration in the region of the lesser curvature of the stomach, which was in contact with the left hepatic lobe, with signs of perforation and inflammatory changes of the adjacent fat (Fig. 1). Medical treatment was initiated, which provided a favorable recovery.
Please cite this article as: Lesquereux-Martínez L, Álvarez AM, Parada-González P, Bustamante-Montalvo M. Úlcera gástrica penetrante en el hígado. Cir Esp. 2017;95:46.
