Abstract
A 46-year-old man was referred to our Unit for hematemesis. The medical history of the patient revealed an HCV-related cirrhosis, a human immunodeficiency virus (HIV) infection and recent and persistent episodes of emesis. An urgent gastroscopy disclosed evidence of active bleeding from varices of the lower third of the esophagus and a concomitant laceration of the esophageal wall due to the emesis. These two conditions have been endoscopically diagnosed and successfully treated by sclerotherapy and endoscopic clipping.
MeSH terms
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Combined Modality Therapy
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Esophageal Perforation / diagnosis
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Esophageal Perforation / etiology
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Esophageal Perforation / therapy*
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Esophageal and Gastric Varices / complications
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Esophageal and Gastric Varices / diagnosis
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Esophageal and Gastric Varices / therapy*
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Esophagoscopy
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Gastrointestinal Hemorrhage / diagnosis
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Gastrointestinal Hemorrhage / etiology
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Gastrointestinal Hemorrhage / therapy*
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Gastroscopy
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Hematemesis / diagnosis
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Hematemesis / etiology
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Hematemesis / therapy*
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Hemostasis, Endoscopic*
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Humans
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Male
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Middle Aged
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Sclerotherapy*
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Tomography, X-Ray Computed
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Treatment Outcome
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Vomiting / complications*