PMC6160614_01
A 2-mm red spot in the duodenal bulb (arrow) seen during repeat EGD on day 6.
CG-CGCR180059F001.jpg
PMC6160614_01_CG-CGCR180059F001.jpg
F1
EUS revealed a 2-mm red spot in the duodenal bulb (Figure 1).
PMC6160614_02
Initial upper endoscopy showing a tear around GE junction (arrow), thought to represent a Mallory-Weiss tear.
CG-CGCR180059F002.jpg
PMC6160614_02_CG-CGCR180059F002.jpg
F2
Upper endoscopy revealed a Mallory-Weiss tear that was felt to be the etiology of the bleeding (Figure 2).
PMC6160614_03
Endoscopy showing gastric varix with recent stigmata of hemorrhage or white nipple sign.
CG-CGCR180059F003.jpg
PMC6160614_03_CG-CGCR180059F003.jpg
F3
Endoscopy revealed clotted blood in the gastric fundus, and a gastric varix with superficial ulceration was found in the stomach with recent stigmata of bleeding or white nipple sign (Figure 3).