PMC3362206_01
PMC3362206_02
The endoscopic image of patient 3 shows an ulcer in the stomach with visible vessel.
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F1
A second endoscopy was done after exclusion of perforation showing an ulcer with a visible vessel (Forrest IIa, fig. 1) necessitating the application of two metal clips.
PMC3362206_03
CT scan of patient 2 shows distension of the stomach and small bowel (immediately after endoscopy).
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F2
CT scan showed massive distension of the stomach and small bowel without perforation (fig. 2).
PMC3362206_04
Endoscopic images of patient 4 show: a A large duodenal ulcer with hematin (asterisks) in the first endoscopy. b Major papilla with larger amounts of blood in the second endoscopy. c Clip in situ on one of the ulcers, coagula in the second endoscopy.
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F3
Two large duodenal ulcers were diagnosed (fig. 3a). Despite revealing an in situ present clip on one of the duodenal ulcers, the endoscopy showed large amounts of blood and coagula in the duodenum (fig. 3b, c).
PMC3362206_05
The endoscopic finding in patient 5 shows a rubber band and a necrotic varix.
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F4
The patient needed three surgical revisions, and a repeated gastroscopy showed large esophageal varices, which were treated with rubber band ligation 7 days after admission (fig. 4). The patient did not recover from abdominal surgery.