Case 4: Large-Volume Hematemesis in a 16-year-old Boy

摘要

A 16-year-old Hispanic boy presents to our emergency department (ED) with recurrent episodes of bloody emesis. Two other episodes occurred 1 and 3 months before the current presentation. The volume of bloody emesis during these episodes was small and without associated hemodynamic instability. However, the family did not have any health insurance secondary to absence of a legal immigration status, declined further evaluation, and missed their follow-up appointments.