Case of the month :A hidden spurter: proximal gastric Dieulafoy lesion missed on two endoscopies, rebleeding after clipping and treated by endoscopically guided wedge resection

Contibuted by : Dr Mahmoud Elkaramany, Consultant Gastroenterologist Cardiff and Vale Univeristy Health Board UK A 64-year-old woman (Mrs X) presented with recurrent episodes of melaena. On each admission her Hb fell to about 60 g/L, requiring blood transfusion.,She denied any use of NSAIDs and was not on blood thinners OGDs on the first two […]

6 mins read

Case of the month : Treat the patient and not an Investigation report , a clinical story

One day a 39 year old female Mrs Toaiba (name changed) presented to our clinic at King Fahad Medical City, Riyadh with a history of progressive painless jaundice of 2 weeks duration without any viral prodrome or offending drug intake. The lady was accompanied by her husband and two small kids. Anxiously her husband pulled […]

5 mins read

Previously misdiagnosed as Chronic liver disease.

Clinical scenario : A 19-year-old male was referred to our hospital with a one-year history of breathlessness on exertion and fatigue, accompanied by a history of gastrointestinal bleeding. Three months ago, he experienced three episodes of painless hematemesis, during which he was admitted to another hospital and diagnosed with variceal bleeding. At that time, he […]

2 mins read

Case of the Month : Sudden onset swelling in a Young man , a rare syndrome revisited

Contributed by Dr Ali Al Ahmari Head of the dept of Gastroenterology AlHADA Military Hospital Saudi Arabia CLINICAL SCENARIO A 37-year-old male, presented with sudden onset swelling of arm and presence of prominent veins on the left arm as shown in .Fig.1 He denied history of trauma and had no co morbid illness . On […]

4 mins read
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