A 58-year-old man presented to the intensive care unit with a massive attack of hematemesis and melena. The patient gave a history of chronic liver disease and a previous attack of upper GI bleeding nine days ago. Upper GI endoscopy nine days ago revealed esophageal varices grade II, III. Band ligation was done, and the patient discharged home two days after the digestive endoscopy. This time, when the patient admitted to the ICU, a ryle was placed in the stomach. After the ryle was placed, the patient got another attack of hematemesis and dysphagia. The patient underwent upper GI endoscopy which showed a hematoma in the lower esophagus (the cause of the attack of hematemesis).
A 58-year-old man presented to the intensive care unit with a massive attack of hematemesis and melena. The patient gave a history of chronic liver disease and a previous attack of upper GI bleeding nine days ago. Upper GI endoscopy nine days ago revealed esophageal varices grade II, III. Band ligation was done, and the patient discharged home two days after the digestive endoscopy. This time, when the patient admitted to the ICU, a ryle was placed in the stomach. After the ryle was placed, the patient got another attack of hematemesis and dysphagia. The patient underwent upper GI endoscopy which showed a hematoma in the lower esophagus (the cause of the attack of hematemesis).
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