There is a wide difference of opinion regarding the criteria necessary for the diagnosis of haemorrhagic disease of the newborn. Formerly, the essential feature seems to have been bleeding from the alimentary tract, hence the synonym 'melaena neonatorum.' More recently a wider view has been taken and many authorities do not consider that haemorrhage into the alimentary tract is necessary for di...

Haematemesis and melaena are amongst the more acute and serious complications of peptic ulcer and their medical management has altered appreciably in the last decade. The re-introduction of liberal feeding by Meulengracht (I953), the use of adequate blood transfusions (Marriot and Kekwick, 1935) and the increasing role of surgery in selected cases may be cited. The effects of recent therapeutic...

The case of an 81-year-old patient, initially presenting with gastrointestinal (GI) bleeding, including melena and hematemesis is reported. Endoscopy revealed an ulcerated mass of the stomach corpus with immunohistochemistry stains consistent with metastatic melanoma. The thorough physical and paraclinical examination did not reveal any lesions or nodules as a primary site of the disease. The l...

Synchronous squamous cell esophageal and squamous cell gastric cancer is a rare duo. A 48-year-old male visited our hospital with a history of dysphagia and melena and was diagnosed with synchronous esophageal and gastric cancer by endoscopy and histopathology. We report a case of a synchronous cancer that was successfully treated by chemotherapy followed by surgery. We also discuss the hypothe...

A 37 year old male with a history of peptic ulcer disease presented to the emergency room with nausea and vomiting. He reported two recent episodes of syncope, but denied other associated symptoms including palpitations, hematemesis, melena, chest pain, or dyspnea. He reported recent use of marijuana, but denied use of cocaine or methamphetamines. The patient reported similar symptoms in 2006 w...

Congenital intrahepatic arterioportal fistula is a rare but treatable cause of portal hypertension for which early recognition may lead to successful radiological management. We report an infant presenting with severe failure to thrive, melena and splenomegaly due to a congenital intrahepatic arterioportal fistula, successfully ablated after multiple trials of superselective transarterial embol...

A 22-year-old man with a history of AIDS, gastritis, and perianal warts presented to his primary care physician with a complaint of worsening dyspepsia and diarrhea. The patient denied fever, nausea, vomiting, bloody stools, melena, weight loss, and change in appetite. He had a history of poor adherence to medication and had stopped his antiretroviral regimen of zidovudine, lamivudine, and nelf...

BACKGROUND Teratoma at the esophagogastric junction is extremely rare. CASE REPORT A 26-day-old male neonate who presented with vomiting and melena. OBSERVATION Investigations revealed a mass at the esophagogastric junction, which was excised and confirmed to be a teratoma. OUTCOME A fistula at the lower end of the esophagus and an esophageal hiatal hernia were observed as complications. ...