Ischemic gastropathy with "leopard skin" stomach

Dhairya Gor; Kyle Wiseman; Rajvi Gor; Shefali Shah

doi:10.1080/08998280.2023.2165295

Ischemic gastropathy with "leopard skin" stomach

Proc (Bayl Univ Med Cent). 2023 Jan 30;36(2):251-252. doi: 10.1080/08998280.2023.2165295. eCollection 2023.

Authors

Dhairya Gor¹, Kyle Wiseman¹, Rajvi Gor², Shefali Shah³

Affiliations

¹ Department of Internal Medicine, Jersey Shore Medical Center, Neptune, New Jersey.
² Internal Medicine Department, Jacobi Medical Center, Bronx, New York.
³ Internal Medicine Department, Monmouth Gastroenterology, Oakhurst, New Jersey.

Abstract

Ischemic gastropathy is a rare, underreported phenomenon that is associated with a poor prognosis. Patients often present with signs of shock, gastrointestinal bleeding, and anemia. We describe a patient with alcoholic cirrhosis who presented after a fall in hemorrhagic shock. Initial endoscopy revealed evidence of ongoing bleeding, with subsequent endoscopy revealing the "leopard skin" appearance in the stomach. The patient was treated supportively but eventually succumbed to his condition. Prompt diagnosis, treatment, and awareness of the delayed changes on upper endoscopy are imperative in diagnosing ischemic gastropathy. Patients with risk factors for the condition need to be given additional consideration for this diagnosis.

Keywords: Ischemic gastropathy; leopard skin stomach.

Publication types

Case Reports