Acute bleed from gastric fundus biopsy site

Case contributed by Assoc Prof Craig Hacking


Acute melena and tachycardia. Endoscopy normal.

Patient Data

Age: 68
Gender: Female

Technique: non contrast, arterial and 30 sec delayed phases. IV contrast administered from the right leg.

Large heterogenous density hematoma within the lumen of the dilated stomach. This is secondary to an acute arterial hemorrhage at the gastric fundus, seen on the arterial phase and pooling on the delayed phase. No other point of hemorrhage identified.

IDC noted.

Incidental calcified gallstones, no gallbladder wall thickening. The remaining intra-abdominal contents are unremarkable.

Dependent consolidation in the lung bases represents atelectasis or aspiration. Small bilateral pleural effusions.


Arterial hemorrhage arising in the wall of the gastric fundus. This is at the site of recent endoscopic biopsy.

Case Discussion

The patient returned to the gastro department for endoscopy and the bleeding vessel was cauterised.

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Case information

rID: 35201
Published: 28th Aug 2015
Last edited: 14th Aug 2019
Tag: biopsy
Inclusion in quiz mode: Included

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