%0 Journal Article %T Gastric suture line ulcer: An unexpected cause of gastrointestinal bleeding %A Ferreira %A Rosa %A Amaro %A Pedro %A Ferreira %A Manuela %A Rom£¿ozinho %A Jos¨¦ Manuel %J Jornal Portugu¨ºs de Gastrenterologia %D 2012 %I Sociedade Portuguesa de Gastrenterologia %X gastrointestinal bleeding due to suture line ulceration has been attributed to use of non£¿absorbable silk sutures. we report a case of a 63£¿year£¿old male with gastrointestinal bleeding due to gastric suture line ulceration after splenectomy performed 11 years ago. emergent upper endoscopy revealed a small gastric ulcer with a visible vessel and raised the suspicion of gastric varices. an endoscopic ultrasound was performed, showing a gastric hyperechogenic area in the mucosa layer with an acoustic shadow. upper endoscopy with a transparent cap was repeated and a mobile foreign body in the ulcer¡äs bed was found. it was successfully removed by forceps. after the procedure a silk suture line of 3.5 cm was identified %K gastric ulcer %K silk suture %K upper gastrointestinal bleeding %K endoscopic cap %K endoscopic ultrasound. %U http://www.scielo.gpeari.mctes.pt/scielo.php?script=sci_abstract&pid=S0872-81782012000200010&lng=en&nrm=iso&tlng=en