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- Ma Liang, Zhang Liwen, Dai Juan, Zhuang Yun, Ding Yanbo, and Chen Jianping.
- Department of Digestive Disease, The First People's Hospital of Changzhou, The Third Affiliated Hospital of Soochow University.
- Medicine (Baltimore). 2018 Dec 1; 97 (51): e13535.
RationaleRadiation-induced hemorrhagic gastritis is an infrequent cause of upper gastrointestinal bleeding and difficult to manage. The current standard treatment has not been well established.Patient ConcernsWe described a 32-year-old male patient with hemorrhagic gastritis induced by external radiotherapy for hepatocellular carcinoma recurrence.DiagnosesThe endoscopic examination showed a diffuse area of bleeding in the gastric antrum.InterventionsAfter failure of conventional hemostasis treatment, we successfully stopped the hemorrhage with repeated endoscopic argon plasma coagulation (APC) combined with low-dose polyglycerol sclerotherapy.OutcomesThe patient was followed up for 6 months to date without recurrence.LessonsBased on this case, we think that endoscopic APC combined with low-dose polidocanol sclerotherapy can be tried as a treatment for potentially life-threatening radiation-induced hemorrhagic gastritis.
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