Loss of consciousness and melaena in a 76-year-old male

Anastasia Anagnostopoulou, Eleni Lazaridou, Demetrios Exarhos


A 76-year-old male presented to the emergency department because of loss of consciousness twice during the previous 24 hours. He described having precursor symptoms of dizziness, blurred vision and sweating. Physical examination demonstrated a significant decline of his systolic blood pressure in the upright position (20 mm Hg) and signs of melaena with concomitant weakness. Laboratory findings revealed normocytic anaemia. The patient appeared haemodynamically stable upon arrival, while during his stay in the emergency room he experienced sudden hypotension (60/40 mm Hg) and tachycardia. Computed Tomography Angiography (CTA) and endoscopic examination were performed in an acute setting (Figs. 1-5), followed by surgery.


Gastrointestinal stromal tumour; Tomography, x-ray computed; Gastrointestinal Haemorrhage

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DOI: http://dx.doi.org/10.36162/hjr.v4i1.282


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