A unique case of upper GI bleed
Journal | Volume 80 - 2017 |
Issue | Fasc.4 - Clinical images |
Author(s) | R. Bansal, S. Duddempudi, W. Thelmo, I. Rajnish |
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(1) Division of Gastroenterology, Wyckoff Heights Medical Center, Brooklyn, NY. ; (2) Division of Pathology, Wyckoff Heights Medical Center, Brooklyn, NY ; (3) Department of Medicine, Elmhurst Hospital Center, NY, USA. |
A 57 year-old male chronic alcohol abuse with sarcoidosis on chronic prednisone was admitted with hematemesis. An urgent esopahgogastroduodenoscopy (EGD) showed old blood clots without any evidence of active bleeding. Repeat EGD after 72 hrs revealed a large well demarcated ulcer with raised and hyperemic edges involving the fundus and lesser curvature (Fig. A & B). The base of the ulcer was very friable and covered with necrotic slough. |
© Acta Gastro-Enterologica Belgica. PMID 29560659 |