What is the most likely diagnosis?
- 71 year-old with abdominal pain and hematemesis
Double Contrast Upper GI Series of Stomach
- Gastric Ulcer, likely malignant
- Gastric Diverticulum
- Lymphoma
- Gastric Ulcer, likely benign
- Gastrointestinal Stromal Tumor (GIST)
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Answer:
4. Gastric Ulcer, likely benign
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Gastric Ulcer
General Considerations
- Multiple in 2-8%
- Coexistent duodenal ulcer disease in 5-42%
- Duodenal to gastric ratio is 3:1
- Multiple postbulbar duodenal ulcers should suggest Zollinger-Ellison Syndrome