PMC4475741_01
A big blood clot adherent to the gastroesophageal junction was seen in the 1st endoscopy. The clot could not be reached by endoscopy.
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fig1
After a one-blood volume transfusion, esophagogastroduodenoscopy (EGD) was performed with an Olympus GIF-N180 neonatal endoscope, which identified the presence of a big blood clot in the fundus, adherent to the gastroesophageal junction without signs of active bleeding (Figure 1).
A spurting arterial vessel was seen after gastrotomy (white arrow).
CRIPE2015-937839.002.jpg
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fig2
An emergency laparotomy with gastrotomy was carried out which revealed a spurting arterial vessel that was ligated at a distance of less than 3 cm from the gastroesophageal junction (Figure 2).