An 83-year-old male with a history of diabetes but with an otherwise intact immune system presented with melena. Upper endoscopy showed gastric and duodenal ulcers. Colonoscopy showed colonic ulcers. Biopsies revealed cytomegalovirus (CMV). Therapy with an antiviral such as ganciclovir should be considered even in an immunocompetent patient if male and over the age of 55, or if they have chroni...

Obscure gastrointestinal bleeding (OGIB) is thought to be a diagnostic and therapeutic challenge for the clinicians and radiologists. A 46-year-old woman complaining of intermittent melena for 3 months was admitted. After extensive investigations, a vascular lesion located in the ileum, diagnosed as intestinal lymphangiohemangioma pathologically, was found by CT angiography (CTA) and selective ...

Metastases to the stomach are rare. They are commonly asymptomatic, and the diagnosis is usually established during autopsy. We present a patient known to have stage IV lung adenocarcinoma who presented with melena and shock. Endoscopy revealed multiple gastric nodules, which were proved to be metastatic deposits from her lung cancer. The possibility of gastric metastases should be kept in mind...

a nine month old infant was taken to a rural medical center due to hematemesis and melena. the bleeding persisted in spite of active management with gastric lavage, intravenous cimetidine, antiacid therapy and blood transfusion for four days' duration. the patient was referred to our center for further evaluation and management. on arrival he was pale and ill looking with active bleeding f...

Blue Rubber Bleb Nevus Syndrome is a rare condition characterised bymultiorgan venousmalformations, in particular of cutaneous area and the gastrointestinal (GI) tract. We report here a child with chronic iron deficiency anaemia, melena and skin lesions. She had severe hypochromic microcytic anaemia. Upper and lower endoscopy revealed hundreds of red-bluish polypoid lesions involving the entire...

Isolated duplications of the alimentary tract are rare congenital malformations with a reported incidence of 1:5000.1,2 Duplication anomalies of the pyloroduodenal region are not common as well. Intestinal duplications should be considered if additional specific development malformations are present. The aetiology of duplication cysts may be multifactorial.3 The usual symptoms in patients with ...

Upper gastrointestinal system bleeding should be first taken into account when a patient complains of melena. On rare occasions, gastrointestinal bleeding may be due to primary or metastatic tumors of the gastrointestinal system. Here, we present a case in which the localization of bleeding was demonstrated by Tc-99m red blood cell labeled scintigraphy with the final diagnosis of metastases of ...

There have been several published reports on metastatic lesions in the stomach, but the number of cases have been limited due to the low frequency of the condition. Metastatic lesions in the stomach are usually asymptomatic. A 55-year-old man with known metastatic lung adenocancer exhibited epigastric pain, hematemesis, and melena. A bleeding, ulcerated gastric metastasis was found and treated ...