Gastroenterologie
a hepatologie

Unexpected cause of death of patient with upper gastrointestinal bleeding

Miloš Caha¹, Polina Politová¹, Radek Vlk², Josef Kult³, Marcela Kopáčová ^{Orcid.org  4}

+ Affiliation
¹ Interní oddělení 1 – gastroenterologie, Nemocnice Tábor, a.s.
² Anesteziologicko-resuscitační oddělení, Nemocnice Tábor, a.s.
³ Oddělení patologie, Nemocnice Tábor, a.s.
⁴ II. interní klinika – gastroenterologie, LF UK a FN Hradec Králové

Summary

This case report describes a 68-year-old male patient hospitalized for melena and hematemesis. Gastroscopy revealed a bleeding gastric ulcer, for which he was treated. Nevertheless, after achieving successful hemostasis in the stomach, the patient remained hemodynamically unstable. Further investigations revealed active bleeding in his right hemithorax, which led to his death.

Keywords

ribs fracture, hematemesis, hemothorax, melena, gastric ulcer

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