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World Journal of Emergency Surgery
Published in: World Journal of Emergency Surgery 1/2009

Open Access 01-12-2009 | Case report

Exsanguinating upper GI bleeds due to Unusual Arteriovenous Malformation (AVM) of stomach and spleen: a case report

Authors: Mohammad Iqbal Khan, Muhammad Tariq Baqai, Mohammad Fahd Baqai, Naveed Mufti

Published in: World Journal of Emergency Surgery | Issue 1/2009

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Abstract

Background

In this paper we are reporting one case of exsanguinating upper gastrointestinal tract (GIT) bleed requiring massive blood transfusion and immediate life saving surgery.

Case presentation

A 30 years old female, 12 weeks pregnant was referred to our hospital from the earth-quake affected area of Kashmir with history of upper abdominal pain, haematemesis and melaena for one week. After stabilizing the patient, upper gastro-intestinal endoscopy was performed. It revealed gastric ulcer just distal to the gastro-esophageal junction on the lesser curvature. Biopsy from the ulcer edge led to profuse spurting of the blood and patient went into state of shock. Immediate resuscitation led to rebleeding and recurrence of post haemorrahagic shock.

Conclusion

The patient was immediately explored and total gastrectectomy with splenectomy concluded as life saving procedure. A review of literature was conducted to make this report possible.
Appendix
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Metadata
Title
Exsanguinating upper GI bleeds due to Unusual Arteriovenous Malformation (AVM) of stomach and spleen: a case report
Authors
Mohammad Iqbal Khan
Muhammad Tariq Baqai
Mohammad Fahd Baqai
Naveed Mufti
Publication date
01-12-2009
Publisher
BioMed Central
Published in
World Journal of Emergency Surgery / Issue 1/2009
Electronic ISSN: 1749-7922
DOI
https://doi.org/10.1186/1749-7922-4-15

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