To cite: Ferdinand E, Mehrzad H, Awasthi A. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013010420 DESCRIPTION A 43-year-old man presented with a 2-day history of haematemesis and melaena. His medical history included chronic pancreatitis and alcohol-induced liver cirrhosis. Gastroscopy revealed a small amount of blood in the duodenum but no bleeding source. F...