Saudi Journal of Gastroenterology
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Year : 2010  |  Volume : 16  |  Issue : 4  |  Page : 319-320
Rare cause of upper gastrointestinal bleeding


Department of Surgery, Pramukhswami Medical College, Karamsad - 388 325, Gujarat, India

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Date of Web Publication24-Sep-2010
 

How to cite this article:
Yagnik VD. Rare cause of upper gastrointestinal bleeding. Saudi J Gastroenterol 2010;16:319-20

How to cite this URL:
Yagnik VD. Rare cause of upper gastrointestinal bleeding. Saudi J Gastroenterol [serial online] 2010 [cited 2019 Nov 13];16:319-20. Available from: http://www.saudijgastro.com/text.asp?2010/16/4/319/70635


An elderly male presented to the emergency department with compliant of blood in the vomitus and passing black colored stool since last 1 day. He had a known history of ischemic heart disease and left medical treatment two years back.. He was allergic to aspirin. There was no history of alcohol abuse or NSAID use. His ECHO report showed 50% ejection fraction. On examination, he was having tachycardia and hypotension. Blood chemistry revealed hemoglobin of 6 g%, rest of the blood investigations were normal. USG abdomen was normal. Upper GI endoscopy revealed a lesion in the stomach [Figure 1].
Figure 1 :Lesion in the stomach

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   Questions Top


Q1. What is the diagnosis?

Q2. Which is the most effective treatment to control bleeding from this condition?

Q3. What percentage of patients re-bleed?



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   References Top

1.Larson G, Schmidt T, Gott J, Bond S, O'Connor CA, Richardson JD. Upper gastrointestinal bleeding: Predictors of outcome. Surgery 1986;100:765-73.  Back to cited text no. 1  [PUBMED]    
2.Reilly HF 3rd, al-Kawas FH. Dieulafoy's lesion: Diagnosis and management. Dig Dis Sci 1991;36:1702-7.  Back to cited text no. 2  [PUBMED]    

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Correspondence Address:
Vipul D Yagnik
77, Siddhraj Nagar, Rajmahal Road, Patan-384265, Gujarat
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1319-3767.70635

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