UGI Stomach Duodenum-NOT SO VISIBLE VESSEL: UPPER GASTROINTESTINAL BLEEDING FROM LARGE PROTRUDING VESSEL FROM PREPYLORIC ULCER MIMICKING FIBRIN CLOT

NOT SO VISIBLE VESSEL: UPPER GASTROINTESTINAL BLEEDING FROM LARGE PROTRUDING VESSEL FROM PREPYLORIC ULCER MIMICKING FIBRIN CLOT

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Video Transcription

Video Summary

In this video, the case of a 53-year-old man presenting with upper gastrointestinal bleeding is discussed. The patient had a history of atrial fibrillation and was on Apexaban. Initial examination showed blood clots in the stomach without active bleeding. After resuscitation, a bedside upper endoscopy revealed an ulcer with an adherent clot. However, upon closer inspection, it was determined to be a 1 centimeter visible vessel ulcer mimicking a clot. Epinephrine was injected to stop the bleeding, and hemoclips were applied to achieve hemostasis. The patient's condition stabilized, and follow-up showed no evidence of bleeding. The video emphasizes the importance of differentiating between different types of ulcers for appropriate management. No credits were provided.

Asset Subtitle

Honorable Mention

Keywords

upper gastrointestinal bleeding

53-year-old man

atrial fibrillation

Apexaban

ulcer