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Previous Volume 351:488-495 July 29, 2004 Number 5 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

A 48-year-old man was admitted to the hospital for evaluation of recurrent gastrointestinal bleeding.

He had been well until 33 months earlier, when he had midepigastric pain and passed black stools that were positive for occult blood. He was found to be anemic and was admitted to the hospital for evaluation. He had been taking low doses of ibuprofen daily for the treatment of chronic shoulder pain. On examination, the abdomen was soft and nontender. Laboratory data are shown in Table 1. The results of evaluation by esophagogastroduodenoscopy and colonoscopy, including examination of the terminal ileum, were normal. No . . . [Full Text of this Article]

Differential Diagnosis

Causes of Gastrointestinal Bleeding

            Vascular Lesions

            Neoplasms

            Inflammatory Lesions

            Small-Bowel Diverticula

            Other Causes

Diagnostic Studies

Clinical Diagnosis

Dr. Myles D. Keroack's Diagnosis

Pathological Discussion

Anatomical Diagnosis

Source Information

From the Gastroenterology Unit (M.D.K.) and the Departments of Surgery (R.P.), Radiology (S.D.A.), and Pathology (J.M.), Massachusetts General Hospital; and the Departments of Medicine (M.D.K.), Surgery (R.P.), Radiology (S.D.A.), and Pathology (J.M.), Harvard Medical School.

Related Letters:

Case 24-2004: Recurrent Gastrointestinal Bleeding in a 48-Year-Old Man
Spiro H., Friedel D. M., Keroack M.
Extract | Full Text | PDF  
N Engl J Med 2004; 351:2455-2456, Dec 2, 2004. Correspondence

This article has been cited by other articles:

• Spiro, H., Friedel, D. M., Keroack, M. (2004). Case 24-2004: Recurrent Gastrointestinal Bleeding in a 48-Year-Old Man. NEJM 351: 2455-2456 [Full Text]