An uncommon cause of gastro-duodenal ulceration

Figure 1 Chromoendoscopy. A-B: Chromoendoscopy with 0.6% Kongored stain showing initial mucosal damage of the gastric antrum; C-E: Multiple ulcerations (Forrest III) and severe mucosal inflammation of the gastric antrum, 3 mo after SIRT; F: Partially reepithelialized ulcer (Forrest III) in the duodenal bulb, 5 mo after SIRT.

Figure 2 Gastric biopsy showing ulceration and typical inflammatory eschar at the surface. The mucosa contains granulation tissue with inflammatory cells and several small blood vessels. Two round microspheres can be seen on the right and left side of the figure. Inset: ⁹⁰Y-microsphere within a capillary adjacent to an erythrocyte.