case_images: PMC10539083_01
case_images: Timeline of the PUD unusual case illustrating the chronological sequence of events.
case_images: CRIID2023-9989515.001.jpg
case_images: PMC10539083_01_CRIID2023-9989515.001.jpg
case_images: fig1
case_images: The patient received routine medications (Figure 1).
case_images: Patient endoscopic findings at the first visit (blue arrow showed PUD) (a) and patient pathology findings at the first visit (b).
case_images: CRIID2023-9989515.002.jpg
case_images: PMC10539083_01_CRIID2023-9989515.002.jpg
case_images: fig2
case_images: Moreover, a large circumferential ulcer was reported in the gastric body and antrum of which multiple biopsies were taken (Figure 2(a)). Moreover, she had leukocyte infiltration in the lamina propria, which was polymorphonuclear-dominant with lower levels of lymphocyte and eosinophil and was associated with red blood cell extravasation and multiple foci of hemorrhage (Figure 2(b)).
case_images: Patient endoscopic findings after 3 months of follow-up (a) and patient pathology findings after 3 months of follow-up (b).
case_images: CRIID2023-9989515.003.jpg
case_images: PMC10539083_01_CRIID2023-9989515.003.jpg
case_images: fig3
case_images: However, a semicircumferential ulceration with severe edema was reported in the stomach, of which multiple biopsies were taken (Figure 3(a)). Moreover, the pathology reported severe, chronic nonatrophic gastritis with moderate infiltration of lymphocytes and neutrophils in the lamina propria, edema without any dysplasia, neoplastic granuloma, and H. pylori infection (Figure 3(b)).