A patient with nausea, vomiting and severe ulcerative gastritis

A 31-year old male patient without any significant previous medical history (no smoking, regular alcohol intake or drug abuse) was referred to our Gastroenterology Unit because of two days starting serious recurring nausea, vomiting and mild upper abdominal discomfort. One day before the onset of symptoms, during a wedding the patients consumed moderate amounts of absinthe. Physical examination, laboratory values and abdominal US were all negative. The upper GI endoscopy (gastroscopy) revealed a dramatic macroscopic picture with severe confluent extensive gastric ulcerations with fibrin deposition. The histology…