What is the most likely mechanism of this disorder?

A 30-year-old male banker complains of mid-epigastric gnawing and boring pain for the last week. The Show more A 30-year-old male banker complains of mid-epigastric gnawing and boring pain for the last week. The pain is worse at night and is somewhat better immediately after he eats. He has not had any fever nausea or vomiting. He takes about one 500-mg acetaminophen tablet a week for headaches but does not take any other medications.Upper endoscopy reveals a 2-cm mucosal defect in the antrum of the stomach. There is mild edema in the adjacent mucosa but there is no thickening of the edges of the ulcer. What is the most likely diagnosis? What are complications from this condition? What is the most likely mechanism of this disorder? Show less


 

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