Endoscopy 2007; 39: E154
DOI: 10.1055/s-2006-925190
Unusual cases and technical notes

© Georg Thieme Verlag KG Stuttgart · New York

Acute gastric ulcer associated with gamma knife treatment (conformal stereotactic radiotherapy) of recurrent hepatocellular carcinoma

C.  Y.  Chang1 , C.  H.  Tu1 , T.  S.  Chiang1 , H. P.  Wang2
  • 1Department of Internal Medicine, E-DA Hospital, Kaohsiung, Taiwan
  • 2Department of Emergency Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan
Further Information

Publication History

Publication Date:
23 July 2007 (online)


Figure 1 A 73-year-old man received one course of gamma knife radiotherapy (conformal stereotactic radiotherapy) for recurrent hepatocellular carcinoma, with a total dose of 45 Gy given within 1 month. Three days after finishing radiotherapy, he developed tarry stools. At esophagogastroduodenoscopy, he was found to have a large gastric ulcer on the lesser curvature and the anterior wall of the antrum, which had an irregular shape and margins (a) and several exposed vessels (b).

Figure 2 Abdominal computed tomography showed that there was a close anatomic relationship between the gastric antrum (arrows) and the hepatocellular carcinoma in the residual left hepatic lobe (arrowheads).

H. P. Wang, M. D. 

Department of Emergency Medicine

National Taiwan University Hospital
No. 7 Chung-Shan South Road

Fax: +886-2-23947899

Email: whp@ha.mc.ntu.edu.tw