This is a 43 year old man with complain of massive hematemesis. The upper endoscopy identified esophageal penetration by fish bone at mid esophagus and the CT scan also showed a hematoma at mid esophagus. The endoscopy procedure terminated immediately and surgical consultation requested. While the patient was waiting for transfer to operating room, a catastrophic bleeding happens and the patien...

Gastric Dieulafoy's lesion (DL) is a potentially fatal entity that causes upper digestive hemorrhage as a consequence of the erosion of an abnormal large-caliber artery in the submucosa of the gastrointestinal tract. We report the case of a 59-year-old female patient admitted to the emergency facility due to melena without any active sign of bleeding during the esophagogastroduodenoscopy. Unexp...

BACKGROUND Polyarteritis nodosa is a form of necrotizing vasculitis of small and medium-sized arteries. Major gastrointestinal complications are ulceration, perforation, hemorrhage, and obstruction. CASE REPORT We report on a clinical case of a 16-year-old female patient with massive hematemesis, who was successfully treated with embolization with a 1:2 dilution of N-butyl cyanoacrylate glue....

A 78-year-old man was admitted to hospital due to massive, bright red hematemesis. As he was hemodynamically unstable, vigorous resuscitation procedures were initiated. Esophagogastroduodenoscopy (EGD) showed a large Mallory– Weiss lesion and a necrotic polypoid lesion about 4 cm below the upper esophageal sphincter (Figure 1). No active bleeding was visible. Six hours later, there was again an...

Adenosquamous carcinoma (ASC) of the stomach is a very rare tumor comprising less than 0.5% of all stomach malignancies. Here, we report a case of a 37-year-old male, who presented with upper gastrointestinal bleeding in the form of hematemesis and malena. A subtotal gastrectomy was done in view of massive uncontrolled bleed. Histology showed evidence of ASC of the body and antrum with metastas...

Mucormycosis is an opportunistic infection caused by the fungi of the Mucorales order of the class Zygomycetes. Gastrointestinal mucormycosis is an uncommon, fatal condition accounting for only 7% of the cases. We present the case of a gastroduodenal mucormycosis presenting as recurrent massive hematemesis. We report this case to alert clinicians of this rare but fatal condition and to encourag...

Patients: 921 patients > 18 years of age (mean age 65 y, 68% men) who were hospitalized with severe, acute upper GI bleeding (hematemesis, bloody nasogastric aspirate, or melena). Exclusion criteria included massive exsanguinating or lower GI bleeding; recent trauma or surgery; Rockall score = 0 (low rebleeding risk) with hemoglobin (Hgb) level > 12 g/dL; or an acute coronary syndrome, symptoma...

We present a case of undifferentiated carcinoma of the esophagus (UCE) treated with chemotherapy consisting of 5-fluorouracil plus nedaplatin and radiotherapy. The patient developed rapid growth of lymph nodes and died of massive hematemesis 2 months after the diagnosis. UCE is rare but highly malignant. Since there is no established treatment for UCE, its clinical outcome is invariably poor. W...