Gastric suture line ulcer: An unexpected cause of gastrointestinal bleeding

Gastrointestinal bleeding due to suture line ulceration has been attributed to use of non‑absorbable silk sutures. We report a case of a 63‑year‑old male with gastrointestinal bleeding due to gastric suture line ulceration after splenectomy performed 11 years ago. Emergent upper endoscopy revealed a small gastric ulcer with a visible vessel and raised the suspicion of gastric varices. An endoscopic ultrasound was performed, showing a gastric hyperechogenic area in the mucosa layer with an acoustic shadow. Upper endoscopy with a transparent cap was repeated and a mobile foreign body in the ulcer´s bed was found. It was successfully removed by forceps. After the procedure a silk suture line of 3.5 cm was identified