We present a 72-year-old man who was admitted to the gastroenterology ward after a frank hematemesis. He had been seen 5 days prior in clinic with dysphagia, anorexia, weight loss, and pain in the epigastrium and thoracic spine. At admission he was stable with normotensive blood pressure, not tachycardic, and had hemoglobin 12.5 g/dL. On examination there was epigastric tenderness, but the abdo...

Sinistral portal hypertension occurs when a pathological process causes occlusion of the splenic vein. The resultant elevated splenic bed venous pressure causes formation of gastric varices which can lead to hematemesis as a common presentation for this disease process. We present a case of sinistral portal hypertension in a patient with acute hematemesis as the primary presentation. Despite th...

OBJECTIVE To report two cases of infants with hemorrhagic gastritis due to cow's milk allergy. DESCRIPTION The clinical features included hematemesis, vomiting and malnutrition. All patients had eosinophilic infiltrate in gastric biopsies and got favorable clinical outcome after cow's milk free diet. COMMENTS Hemorrhagic gastritis due to cow's milk allergy is an uncommon diagnosis. Clinical...

Gastroduodenal polyp as a cause of upper gastrointestinal bleeding is a very rare entity especially in infancy. In infants hematemesis often is a manifestation of systemic illnesses like septicemia or coagulopathy. Here we present a 5 month old young girl who presented in emergency with hematemesis associated with a significant drop of Hemoglobin. On endoscopy a large gastric antral polyp was f...