STOMACH - Chronic peptic ulcer

The specimen consists of gastric body which has been opened along the greater curvature. Situated in the central portion of the specimen there is a large peptic ulcer. This has a punched out appearance with slightly elevated margins. The ulcer is almost transmural and a large vessel is seen at its base. The ulcer bed contains focal areas of necrotic debris and recent haemorrhage.
The patient, a 66-year-old woman, was found dead. There was evidence of gastrointestinal haemorrhage with partially digested blood being found near the body. At postmortem examination this large benign peptic ulcer was found in the stomach. The stomach was full of blood and blood clot continued through the small and large bowel.