of renal artery to aortic bifurcation was seen with antroposterior diameter 40 mm. There were seen a circumferential mural thrombosis and also a small perianeurismal hematoma. The findings were consistent with the diagnosis of AEF. In the seventh day of hospitalization, while the patient was being prepared for surgical repair, massive hematemesis occurred and unfortunately he died. In a few per...

We present an unusual case of a 44-year-old male who developed violent hiccups soon after a ureteroscopy for nephrolithiasis; later, the forceful hiccups were followed by hematemesis. Upper esophagogastroduodenoscopy revealed Mallory-Weiss tears and esophageal erosions in the lower esophagus. Esophageal biopsy was unremarkable. The patient did not have a prior history of the gastrointestinal di...

The case of a 13-year old boy with hepatic steatosis secondary to atypical antipsychotic use is described. The patient presented with a single episode of moderate-volume hematemesis and was found to have severe fatty infiltration and ductal dilatation of the liver. These changes were attributed to the patient’s use of olanzapine for behavioral disorders related to autism spectrum disorder. The ...

Often discovered only after an extensive work up for hemoptysis and hematemesis, vallecular varices are a rare cause of oral bleeding that increase patient morbidity due to delay of diagnosis. We describe an 89-year-old male who presented with a week of intermittent oral blood production. A vallecular varix was identified on fiberoptic laryngoscopy after studies for hematemesis and hemoptysis h...

BACKGROUND Leeches are rare blood-sucking endoparasites. Swimming in streams and ponds as well as drinking contaminated water are the major ways to acquire leeches. CASE PRESENTATION A 6 year old boy who came with a history of hematemesis, frequent spitting of blood stained saliva, fatigue and anorexia to a rural hospital in Ethiopia. This was a rare case of severe anemia caused by a single l...