EDITOR'S QUIZ: GI SNAPSHOT...: An unusual cause of melena

Basavaraju, K. P.; Armitage, K; Hunt, C. R.; Ahluwalia, N. K.
August 2005
Gut;Aug2005, Vol. 54 Issue 8, p1180
Academic Journal
This article presents a question related to the diagnosis in case of a 79 year old Caucasian male who presented with a two week history of melena. The answer of this question is also given. The patient's past medical history included hypertension, atrial fibrillation, and malignant melanoma. He was on warfarin. Examination demonstrated a palpable irregular liver edge and the presence of melena was confirmed on per-rectal examination. Gastroscopy identified three ulcers with craters in the gastric fundus, the largest being approximately 2.5 cm in size.


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