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Gastric suture line ulcer: An unexpected cause of gastrointestinal bleedingKeywords: gastric ulcer, silk suture, upper gastrointestinal bleeding, endoscopic cap, endoscopic ultrasound. Abstract: 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′s bed was found. it was successfully removed by forceps. after the procedure a silk suture line of 3.5 cm was identified
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