HEMORRHAGIC ULCERATED STOMACH CANCER IN A PATIENT WITH PERNICIOUS ANEMIA. A CASE REPORTS.

Abstract

Stomach cancer is one of the most common tumors, often detected in later stages as patients remain asymptomatic until later stages with black stools, accompanied by bodily weakness. Pernicious anemia. a known cause of vitamin B12 deciency, is a classic risk factor for stomach cancer. Patients with PA usually present with megaloblastic anemia and peripheral neuropathy; however, they may also present with nonspecic symptoms, such gastrointestinal hemorrhage with hemodynamic changes. A 73-year-old man presents in the emergency room of the hospital in Lushnja, Albania, with abdominal pain, black stools, accompanied by bodily weakness. Complaints have started for several weeks, where the pain is constantly aggravated, until it forced him to appear in the emergency department of Lushnja Hospital. The patient complains of burning sensation in the chest, decreased appetite, physical weakness, and has lost weight 14 kg in the last 3 months, accompanied by nervous disorders. Up to the moment of hospitalization did not refer for nausea, vomiting, dysphagia, without a history of gastrointestinal disease. Initial laboratory work revealed severe B12 deciency, pancytopenia, by the endoscope that revealed a mass of gastric fundus important for adenocarcinoma on biopsy