Abstract
A 42-year-old man was admitted to the intensive care unit with massive upper GI bleeding. At admission, the hemoglobin was 6.0 gm/dL (normal: 12.1-15.1 gm/dL) and transfusion of 8 units of blood was required to achieve hemodynamic stability. Upper endoscopy revealed a large volume of fresh blood in the stomach with an indistinct focus of slow but active bleeding in the cardia, but the exact source of bleeding could not be identified. Despite supportive care, bleeding continued and endoscopy was repeated.
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