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Volume 80 - 2017 - Fasc.4 - Clinical images

A unique case of upper GI bleed

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.


Luminal duplication wireless capsule endoscopy detection of Meckel's diverticulum

An 18-year-old man presented with dizziness and melena. He had no relevant past medical history. Laboratory workup was relevant for a hemoglobin of 7.1 g/dL. Two red blood cell transfusions were administered and, subsequently, an upper endoscopy and ileocolonoscopy were performed, which showed no lesions nor active bleeding. Abdominal computer tomography scan also did not reveal suspicious lesions. Due to hemodynamic instability, an urgent abdominal angiography was performed, again without identifying the source of bleeding. Video capsule endoscopy (VCE) was performed and revealed the findings shown on Fig. 1. The patient was submitted to an enterectomy (Fig. 2) and the histological exam of the surgical specimen is shown on Fig. 3.