The specimen is a stomach, opened along the greater curvature, showing a haemorrhagic
appearance with thickening of the folds and the presence of a greyish exudate.
This woman had a 4-year history of chronic renal failure secondary to glomerulonephritis.
She had a cadaveric renal transplant; she developed septicaemia secondary to a urinary tract
infection and latterly developed increasing shortness of breath with a Pseudomonas pulmonary
infection. Shortly after this she had a large coffee-ground vomit and produced melena stools. It is
assumed that the lesion shown here is uremic in origin.