STOMACH - Acute haemorrhagic gastritis

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.