Cases reported "Melena"

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1/9. Intractable oesophageal variceal bleeding caused by splenic arteriovenous fistula: treatment by transcatheter arterial embolization.

    We describe a rare case of splenic arteriovenous fistula and venous aneurysm which developed after splenectomy in a 40-year-old woman who presented with epigastralgia, watery diarrhoea, repeated haematemesis and melaena caused by hyperkinetic status of the portal system and bleeding of oesophageal varices. It was diagnosed by computed tomography and angiography, and obliterated with giant Gianturco steel coils.
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ranking = 1
keywords = haematemesis
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2/9. Gastric epithelioid haemangioendothelioma: a rare cause of upper gastrointestinal bleeding.

    Vascular tumours of the stomach are rare, representing 0.9%-3.3% of all gastric neoplasms. A 58 year old man was admitted as an emergency with a one day history of haematemesis and melaena. He underwent an emergency laparotomy for a tumour in the lesser curve of the stomach. The tumour showed the characteristic histological and immunohistochemical features of epithelioid haemangioendothelioma. Surgery in the form of wide excision seems to be the treatment of choice for this rare neoplasm. This case highlights the difficulty in diagnosing this rare tumour preoperatively and emphasises the need for long term follow up in view of its uncertain metastatic potential.
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ranking = 1
keywords = haematemesis
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3/9. Haematemesis due to leech infestation.

    We present a case of haematemesis and malaena, severe enough to require blood transfusion, caused by leech infestation from the southern region of saudi arabia. The site was the posterior pharyngeal wall. The common mode of presentation in leech endoparasitism is by nasal infestation and recurrent unexplained epistaxis. Leech endoparasitism should be considered as a cause in unexplained haematemesis in areas where aquatic leeches are commonly found.
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ranking = 2
keywords = haematemesis
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4/9. Massive gastrointestinal bleeding due to cholecystoduodenal fistula. Case report.

    A young man presenting with massive haematemesis and melaena was found to have a cholecystoduodenal fistula secondary to duodenal ulcer. Surgical treatment was successful.
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ranking = 1
keywords = haematemesis
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5/9. Fluctuating jaundice and intestinal bleeding in a 6-year-old girl with fascioliasis.

    A six-year-old girl presented with fever, haematemesis, melaena, fluctuating jaundice, tender hepatomegaly, palpable gall bladder and eosinophilia. At laparotomy a liver fluke was removed from the common bile duct. Despite treatment with praziquantel and metronidazole she succumbed to severe gastrointestinal bleeding.
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ranking = 1
keywords = haematemesis
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6/9. A variety of ehlers-danlos syndrome type IV presenting with haematemesis and gastro-esophageal reflux.

    A case of a variety of ehlers-danlos syndrome (EDS) type IV presenting with haematemesis and melaena and symptoms of gastro-esophageal reflux is described. At referral, the manometric esophageal findings similar to scleroderma and the abundant gastroesophageal reflux seemed noteworthy. 3 years after surgery, bleeding and reflux symptoms appeared, perfectly cured by a total biliary diversion operation. The reported case suggests that patients with EDS type IV especially when presenting with haematemesis and melaena should be investigated for reflux, since bleeding might be due to the action of reflux on the fragile-walled vessels of such patients.
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ranking = 6
keywords = haematemesis
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7/9. An ulcerated gastric diverticulum--a rare cause of haematemesis and melaena.

    A case of recurrent intraluminal bleeding from an ulcerated gastric diverticulum is described. Difficulties in diagnosis and treatment of this rare condition are discussed. The importance of accurate preoperative diagnosis by endoscopy and barium meal is emphasized.
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ranking = 4
keywords = haematemesis
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8/9. Massive haematemesis and melaena from a Meckel's diverticulum.

    A case of Meckel's diverticulum in a middle-aged man presenting acutely with haematemesis and melaena is reported. Such a presentation has not to our knowledge been previously reported in this age group.
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ranking = 5
keywords = haematemesis
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9/9. An unusual presentation of an unusual complication of infectious mononucleosis: haematemesis and melaena.

    Tonsillar haemorrhage is a rare complication of infectious mononucleosis. We present a case of life-threatening tonsillar haemorrhage secondary to infectious mononucleosis in a young man whose predominant symptoms at presentation were haematemesis and melaena. The origin of the haemorrhage was not obvious until the patient was examined under anaesthesia. The bleeding was controlled by emergency tonsillectomy.
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ranking = 5
keywords = haematemesis
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