An Incidental Finding of Gastric and Duodenal Pseudomelanosis: A Case Report

Pseudomelanosis of the upper gastrointestinal tract is a rare diagnosis of undetermined significance, most commonly affecting the duodenum. Endoscopically, it is characterized by dark spickled pigmentation . Its development has been linked to certain conditions and medications. Involvement of the st...

Full description

Bibliographic Details
Main Authors: Mohamed Wael Mohamed, Rawan Althahabi, Faisal Abubaker, Omar Sharif
Format: Article
Language:English
Published: Karger Publishers 2022-04-01
Series:Case Reports in Gastroenterology
Subjects:
Online Access:https://www.karger.com/Article/FullText/524192
_version_ 1829115824428810240
author Mohamed Wael Mohamed
Rawan Althahabi
Faisal Abubaker
Omar Sharif
author_facet Mohamed Wael Mohamed
Rawan Althahabi
Faisal Abubaker
Omar Sharif
author_sort Mohamed Wael Mohamed
collection DOAJ
description Pseudomelanosis of the upper gastrointestinal tract is a rare diagnosis of undetermined significance, most commonly affecting the duodenum. Endoscopically, it is characterized by dark spickled pigmentation . Its development has been linked to certain conditions and medications. Involvement of the stomach is extremely rare with very few cases reported in the literature to date. We report an 85-year-old male who is known to have type 2 diabetes mellitus, dyslipidemia, iron deficiency anemia, and chronic kidney disease who underwent an esophagogastroduodenoscopy for evaluation of upper gastrointestinal bleeding and was found to have gastric and duodenal pseudomelanosis confirmed by biopsy. It is an extremely rare benign condition, but metastatic melanoma has to be ruled out, as was done in this case.
first_indexed 2024-12-12T16:24:38Z
format Article
id doaj.art-df2f9f5cc2734294a716e6936222bac7
institution Directory Open Access Journal
issn 1662-0631
language English
last_indexed 2024-12-12T16:24:38Z
publishDate 2022-04-01
publisher Karger Publishers
record_format Article
series Case Reports in Gastroenterology
spelling doaj.art-df2f9f5cc2734294a716e6936222bac72022-12-22T00:18:55ZengKarger PublishersCase Reports in Gastroenterology1662-06312022-04-0116126426910.1159/000524192524192An Incidental Finding of Gastric and Duodenal Pseudomelanosis: A Case ReportMohamed Wael Mohamed0https://orcid.org/0000-0002-9034-2084Rawan Althahabi1Faisal Abubaker2https://orcid.org/0000-0001-5984-4847Omar Sharif3Department of Internal Medicine, King Hamad University Hospital, Al-Muharraq, BahrainDepartment of Internal Medicine, King Hamad University Hospital, Al-Muharraq, BahrainDepartment of Gastroenterology, Hepatology and Endoscopy, King Hamad University Hospital, Al-Muharraq, BahrainHead of Department of Gastroenterology, Hepatology and Endoscopy, King Hamad Univer-sity Hospital, Al-Muharraq, BahrainPseudomelanosis of the upper gastrointestinal tract is a rare diagnosis of undetermined significance, most commonly affecting the duodenum. Endoscopically, it is characterized by dark spickled pigmentation . Its development has been linked to certain conditions and medications. Involvement of the stomach is extremely rare with very few cases reported in the literature to date. We report an 85-year-old male who is known to have type 2 diabetes mellitus, dyslipidemia, iron deficiency anemia, and chronic kidney disease who underwent an esophagogastroduodenoscopy for evaluation of upper gastrointestinal bleeding and was found to have gastric and duodenal pseudomelanosis confirmed by biopsy. It is an extremely rare benign condition, but metastatic melanoma has to be ruled out, as was done in this case.https://www.karger.com/Article/FullText/524192pseudomelanosisendoscopycase report
spellingShingle Mohamed Wael Mohamed
Rawan Althahabi
Faisal Abubaker
Omar Sharif
An Incidental Finding of Gastric and Duodenal Pseudomelanosis: A Case Report
Case Reports in Gastroenterology
pseudomelanosis
endoscopy
case report
title An Incidental Finding of Gastric and Duodenal Pseudomelanosis: A Case Report
title_full An Incidental Finding of Gastric and Duodenal Pseudomelanosis: A Case Report
title_fullStr An Incidental Finding of Gastric and Duodenal Pseudomelanosis: A Case Report
title_full_unstemmed An Incidental Finding of Gastric and Duodenal Pseudomelanosis: A Case Report
title_short An Incidental Finding of Gastric and Duodenal Pseudomelanosis: A Case Report
title_sort incidental finding of gastric and duodenal pseudomelanosis a case report
topic pseudomelanosis
endoscopy
case report
url https://www.karger.com/Article/FullText/524192
work_keys_str_mv AT mohamedwaelmohamed anincidentalfindingofgastricandduodenalpseudomelanosisacasereport
AT rawanalthahabi anincidentalfindingofgastricandduodenalpseudomelanosisacasereport
AT faisalabubaker anincidentalfindingofgastricandduodenalpseudomelanosisacasereport
AT omarsharif anincidentalfindingofgastricandduodenalpseudomelanosisacasereport
AT mohamedwaelmohamed incidentalfindingofgastricandduodenalpseudomelanosisacasereport
AT rawanalthahabi incidentalfindingofgastricandduodenalpseudomelanosisacasereport
AT faisalabubaker incidentalfindingofgastricandduodenalpseudomelanosisacasereport
AT omarsharif incidentalfindingofgastricandduodenalpseudomelanosisacasereport