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Figure 1. A 76-year-old man with a three-day history of crampy abdominal pain presented to the hospital with melena and a near-syncopal episode. Sixteen years earlier he had undergone successful surgery to repair an abdominal aortic aneurysm. His blood pressure and pulse were 144/82 mm Hg and 118 per minute, respectively, while he was lying down and 132/80 mm Hg and 147 per minute while he was standing. Abdominal examination revealed mild tenderness in the left and right lower quadrants. The gastric contents had a coffee-ground appearance, which cleared with lavage. Esophagogastroduodenoscopy revealed a normal-appearing esophagus, stomach, and duodenum. . . . [Full Text of this Article] |
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