We report a case in which a non-trauma patient suffering hematemesis and undergoing massive volume resuscitation developed abdominal compartment syndrome (ACS). The abdominal distension severely compromised his pulmonary functioning: a chest radiograph showed low lung volumes and dense bilateral parenchymal opacities. His blood oxygen saturation reached as low as 32%. Because he was hemodynamic...

Gastrointestinal bleeding secondary to rupture of a hepatic artery pseudoaneurysm is rare. We report the case of a 61-year-old woman, who was admitted to our institution with hematemesis and melena. Upper gastrointestinal endoscopy and flexible sigmoidoscopy failed to reveal any significant abnormality. Computed tomography scan showed an aneurysm arising from the hepatic artery. A selective ang...

In a 24 years old male presented with a first episode of massive hematemesis requiring resuscitation, a first upper endoscopic exam was inconclusive. The second endoscopic exam performed 24 hours later described a lesion as a little vessel with normal surrounding mucosa, without active bleeding (red arrow). This lesion was localized at the gastroesophageal junction (A) see the gastric mucosa (w...

Gastric disease is usually the result of inflammation, ulceration, neoplasia, or obstruction and manifests clinically as vomiting, hematemesis, melena, retching, burping, hypersalivation, abdominal distension, abdominal pain, or weight loss. The clinical approach is simplified by considering gastric diseases as a group of clinical syndromes based on the combination of etiology, pathology, and c...

Immature gastric teratoma is an uncommon germ cell tumor of the stomach. We report a rare case of immature gastric teratoma in an infant with down syndrome with clinically presenting with hematemesis and severe anemia. Complete surgical resection remains the cornerstone of treatment.

was being admitted for chemotherapy for stage IV ovarian cancer. After large−vol− ume resuscitation, upper gastrointestinal endoscopy was performed because of hematemesis. A large ulcer (2 ” 2 cm) in the posterior wall of the duodenal bulb with a large, actively bleeding visible ves− sel (estimated diameter 5 ± 6 mm) was seen. Despite repeated local epinephrine injections, heater probe coagulat...

OBJECTIVE Traumatic pseudoaneurysms are rare but life-threatening lesions. We investigated the patients with these lesions to clarify their clinical characteristics and therapeutic strategies and we also reviewed the literatures on the treatment principles, possible options, and outcomes. METHODS There were a total of 8 patients who were treated with traumatic intracranial pseudoaneurysms bet...

Background Esophageal submucosal hematoma is a rare complication after endovascular surgery. We report a case of an esophageal submucosal hematoma which may have been caused by rigorous cough during extubation. Case presentation A 75-year-old woman underwent endovascular treatment for unruptured cerebral aneurysm under general anesthesia. The patient received aspirin and clopidogrel before su...