Diagnostic Dilemma

Recurrent gastritis


Author: Pediatric Oncall
Question
An 8-year-old boy born of non-consanguineous marriage presented with recurrent episodes of hematemesis. He had the first episode 3 years ago which was coffee-colored associated with vomiting. He was treated with antacids at that time. He had another episode of hematemesis 6 months ago and a recent one 15 days ago. All the time, he was treated with antacids. There were no dark-colored stools or jaundice. On examination, there was no organomegaly or any other abnormal physical examination findings. Investigations showed normal platelets, normal prothrombin time (PT) & partial thromboplastin time (PTT), normal liver function tests. Colour doppler of the abdomen showed normal portal vein size and USG abdomen showed no organomegaly. Oesophageogastroscopy (OGDscopy) showed erosive gastritis.

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