Unusual cause for overt upper gastrointestinal bleeding

摘要: A 66-year-old woman with a history of aortic stenosis, ischaemic heart disease, chronic obstructive pulmonary disease and hypertension presented to accident emergency department, sudden onset haematemesis melaena. Haemoglobin on arrival was 49 g/L. Following immediate resuscitation, she underwent upper gastrointestinal endoscopy. After futile attempts control the bleeding, procedure abandoned due what endoscopist described as ‘profuse bleeding from D2’. discussion patient, an laparotomy …