Massive Upper Gastrointestinal Bleeding in an Adolescent Patient: A Case Report.

J Emerg MedSep 8, 2026 (epub)
Case ReportEmergency MedicinePediatricsGastroenterology

Thomas Leith, Anjali Rajkumari Oberoi, T Matthew Shields et al.

✦ AI-curated · Sources linked

Case in brief

A 17-year-old boy with plaque psoriasis presented with copious hematemesis and hemodynamic instability. He received blood transfusion and was admitted to the pediatric intensive care unit. Initial upper endoscopy showed a duodenal erosion, but this finding did not account for continued large-volume bleeding. Repeat endoscopy identified a Dieulafoy lesion, which was treated successfully. He was discharged home and remained stable during long-term follow-up.

What made this case unusual

The initial endoscopy found a duodenal erosion, while a subsequent examination revealed a separate Dieulafoy lesion that better explained the ongoing severe bleeding.

Diagnostic / clinical pearl

When bleeding continues out of proportion to initial endoscopic findings, consider an additional source and the limitations of a single examination; further endoscopic evaluation may identify a treatable lesion.

Source

PubMed · PMID 42892228

Published in J Emerg Med. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

ShareTelegramLinkedIn

AI-generated summaries may contain errors or omissions. Verify clinically important information with the original publication.

More in Emergency Medicine

Clinical ResearchPreventive Medicine / Public Health

2025 National Guidelines on the Mediterranean Diet: Executive Summary of a Joint Report by Italian Scientific Societies and the National Institute of Health Task Force on Clinical Practice Guidelines.

This systematic review and practice guideline, developed by a multidisciplinary panel using NUTRIGRADE, assessed Mediterranean diet evidence across nine health domains and one economic domain.

Nutr RevNov 12, 2026Read summary
Clinical ResearchOrthopedic Surgery

Prevention of Venous Thromboembolism after Total Hip or Knee Replacement.

This multicenter randomized comparative-effectiveness noninferiority trial compared 30 days of aspirin, warfarin, or rivaroxaban for VTE prophylaxis after elective total hip or knee arthroplasty.

N Engl J MedNov 12, 2026Read summary
Clinical ResearchAnesthesiology

Effect of discontinuing antihypertensives on perioperative hypotension in older patients before non-cardiac surgery: multicentre, randomised, double blind, controlled trial.

This multicentre, randomised, double blind, placebo controlled trial assessed whether withholding ACE inhibitors or ARBs on the morning of surgery reduces perioperative hypotension in older adults undergoing non-cardiac…

BMJNov 11, 2026Read summary

Want this personalized?

Stop searching the literature. Choose what you follow and xxcode will build your personalized medical digest.

  • Your specialties
  • Your filters and thresholds
  • Clinical Research + Case Reports, tuned separately
  • Automatic weekly delivery
  • Audio and text
Create my personalized digestSee plans

Prefer listening? Personalized audio digests are available with Pro.

Stay updated for free

Get the 3 most interesting publications in one specialty each week.

Weekly email. Unsubscribe anytime.