An nasogastric aspirate showed fresh blood in the stomach. Despite repeated lavage,the aspirate did not become clear
• An nasogastric aspirate showed fresh blood in the stomach. • Despite repeated lavage, the aspirate did not become clear
After stabilization,the patient underwent an emergency endoscopy,which only revealed two oozing Mallory Weiss tears and a large amount of blood in the stomach.There were no ulcers in stomach or duodenum. Soon afterwards,the patient became unstable,requiring volume resuscitation,intubation and pressure support
• After stabilization, the patient underwent an emergency endoscopy, which only revealed two oozing Mallory Weiss tears and a large amount of blood in the stomach. There were no ulcers in stomach or duodenum. • Soon afterwards, the patient became unstable, requiring volume resuscitation, intubation and pressure support