An unusual cause of upper gastrointestinal bleeding

摘要

A 46-year-old man with stage IV esophageal cancer (Figure 1, left) presented with dysphagia and weight loss. A palliative esophageal stent (ultraflex) was placed to relieve the dysphagia (Figure 1, right) in another hospital for symptom relief. He was administered concurrent chemoradiotherapy after oral intake resumed. On the third hospital day of the fourth chemotherapy course, he experienced sudden-onset large-volume hematemesis and went into shock.