A young woman with upper gastrointestinal bleeding.

Vikas Kumar Sarna [email protected] Njaal Stray Department of Medicine Diakonhjemmet Hospital A young, previously healthy woman was admitted to the department of internal medicine with haematemesis and haemodynamic instability. Her haemoglobin level was low, and a rapid infusion of fluid and a blood transfusion were necessary. The first gastroscopy did not identify any clear focus of bleeding. The conditioned worsened, which created a demanding situation in the intensive care department and the gastrointestinal laboratory – only to result in a surprising diagnostic clarification.