#foryou #explore #medicine #endoscopy
#اكسبلور#
#طب #
A 79-year-old woman presented with a massive attack of hematemesis and melena. The patient gave a history of chronic liver disease and band ligation for esophageal varices. Laboratory studies revealed thrombocytopenia, PLTcount= 38000. the patient underwent an upper digestive endoscopy. The scope revealed esophageal varices and band ligation was performed. One minute after withdrawal of the scope, there is an attack of fresh bleeding. Upper endoscopy was done and revealed oozing around the rings of band ligation
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