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Endoscopy
Inside view
What secret lies in the growth?
  1. Shantanu Anant Shahane1,
  2. Rajkumar Prannath Wadhwa1,
  3. Kushan Sengupta1,
  4. Ranjitha V N2,
  5. Aathira Ravindranath3,
  6. Raghuram Naik1,
  7. Rakesh J P1,
  8. Smruthi Sangam1
  1. 1Medical Gastroenterology, Apollo BGS Hospitals, Mysuru, Mysore, Karnataka, India
  2. 2Pathology, Apollo BGS Hospitals, Mysuru, Mysore, Karnataka, India
  3. 3Pediatric Gastroenterology, Apollo BGS Hospitals, Mysuru, Mysore, Karnataka, India
  1. Correspondence to Dr Rajkumar Prannath Wadhwa; drrwadhwa{at}hotmail.com

https://doi.org/10.1136/flgastro-2024-102889

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    Introduction

    An elderly patient with hypertension and diabetes was admitted to the hospital following a road traffic accident and having sustained a head injury. The patient was detected to have a subdural haemorrhage (SDH) with diffuse cerebral oedema. The patient underwent decompression craniotomy and evacuation of SDH. The patient did not have any gastrointestinal (GI) symptoms prior to the road traffic accident.

    In view of a low score on Glasgow Coma Scale and an expected recovery period, the patient was referred to medical gastroenterology for percutaneous endoscopic gastrostomy (PEG). Laboratory investigations revealed the following: haemoglobin level of 116 g/L (reference range: 115–165 g/L), total leucocyte count of 20 x 109/L (reference range: 3.6 – 11 x …

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    Footnotes

    • Contributors SAS: data collection and writing original draft. KS: manuscript editing and supervision. RPW: critically reviewed the study proposal and supervised. AR: provided endoscopy images. RVN: histopathology examination and reporting of the biopsy samples. RN, RJP and SS: drafted the manuscript. Guarantor: SAS.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.