A 49-year-old male presented to the emergency room with pain in the left upper abdomen and melena, accompanied by symptoms of dizziness and weakness. The patient had intermittent left upper abdomen pain and melena for 5 days. He had a history of alcoholism and was diagnosed with pancreatitis and type 2 diabetes for 1 year.

Examination

On admission, physical examination revealed only slight tenderness in the left upper abdomen and pale conjunctiva of eye. No muscular tension or rebound tenderness was noted. Digital rectal examination showed negative results. Laboratory tests showed that haemoglobin was 63 g/L (normal range: &gt; 120 g/L). The faecal occult blood result was positive, and the remaining biochemical tests including amylase were normal. Gastroscopic examination revealed an ulcer-like depression on the upper part of the greater gastric curvature and mucus secretions adhered to the epithelial surface. The surrounding mucosa exhibited thickening and oedema with obscured structural outlines. The gastric folds could not be fully extended after gas charging.&nbsp;

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MediSage Case Discussions

Explore a case of a 49-year-old male with abdominal pain, melena, and history of pancreatitis and diabetes. Key findings and insights included.

Emergency Case: 49-Year-Old Male with Abdominal Pain

Abdominal pain with melena and dizziness

Clinical case discussion shared for educational purposes and professional medical opinion.

Abdominal pain with melen...