KROK 1 2013 – Question 122 · KROK (Medicine) · Pathomorphology
At the post-mortem examination the stomach of a patient with renal failure was found to have a yellow-brown coating on the thickened mucosa. The coating was firmly adhering to its surface and had significant thickness. Microscopy revealed congestion and necrosis of mucosal and submucosal layers, fibrin presence. What is the most likely diagnosis?
- A. Corrosive gastritis
- B. Gastric abscess
- C. Croupous gastritis
- D. Fibrinous gastritis
- E. Esogastritis
Hint
Consider how firmly the coating adheres and how deep the necrosis reaches, and ask which toxic products of renal failure damage the stomach wall.
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