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400 Possible Causes for Ascites, Hematemesis, Melena

  • Portal Hypertension

    The serum-ascites albumin gradient value of 1.9 g/dL and the total protein level in the ascites of 3.1 g/dL indicated the ascites to have been caused by portal hypertension[] A 62-year-old Brazilian man who lived in endemic areas of tropical diseases had an episode of hematemesis associated with portal hypertension.[] Dizziness, nausea, vomiting with red blood, melena was presented on admission.[]

  • Gastric Cancer

    Imaging studies showed massive ascites and tumor infiltration in the omentum and peritoneal wall.[] […] of difficult or painful swallowing (i.e. dysphagia, odynophagia) Heartburn Retrosternal discomfort or pain Nausea, vomiting Fever, sepsis Abdominal pain Epigastric pain Hematemesis[] Some patients experience weight loss, and others may present with melena or pallor from anemia .[]

  • Portal Vein Thrombosis

    Peritoneal tuberculosis can present with unusual manifestations such as portal vein thrombosis and transudative ascites causing a diagnostic dilemma.[] After one month of anticoagulation therapy, the patient developed severe hematemesis.[] Clinical features at presentation were hematemesis and melena in 21 (84%), the patients age at the time of the first variceal hemorrhage ranged from 1 mo to 15 yrs (median[]

  • Aortoduodenal Fistula

    Symptoms of ADF consist of flank or abdominal pain, hematemesis, melena, and an abdominal mass.[] Furthermore, our patient did not have other causes of transudative ascites.[] In this article, we present a case of 68-year-old man who died of massive hematemesis resulting from aortoduodenal fistula (ADF), a rare complication of acupuncture therapy[]

  • Duodenal Ulcer

    A 48-year-old woman was admitted to our hospital due to melena. An upper endoscopy revealed a small ulcer with oozing adjacent minor papilla.[] Since neither ascites nor free air were detected on CT and her family did not wish for aggressive medical treatment, the patient received clinical observation and conservative[] The authors present the case of a 5-y-old boy having hematemesis, gastric outlet obstruction and multiple duodenal ulcers.[]

  • Gastric Varices

    A 75-year-old male presented with hematemesis and melena. Esophagogastroduodenoscopy revealed isolated gastric varices.[] Although further experience is needed, our experience points to the likelihood of the amelioration of ascites after B-RTO.[] Two patients with liver cirrhosis and portal hypertension related to hepatitis infection were admitted to Shanghai Ruijin Hospital due to recurrent melena and hematemesis.[]

  • Gastric Adenocarcinoma

    A 60-year-old man who had a pain and distention in his upper abdomen presented melena. Gastroscopy and pathology revealed a gastric cancer.[] The abdominal ultra-sound showed high volume ascites and the diagnostic paracentesis revealed milk-like peritoneal fluid rich in triglycerides.[] A 13-year-old boy presented with complaints of abdominal pain, hematemesis, headache, and leg pain.[]

  • Esophageal Varices

    Esophageal varices is one of the most important comorbidity related liver cirrhosis, patients usually presented with hematemesis, melena, or both, ultimately 20% is the mortality[] The laboratory investigations showed pancytopenia, and imaging tests revealed hepatosplenomegaly and ascites.[] We herein report a case of a 50-year-old male with hematemesis due to the rupture from esophageal varices coexisting with multiple liver tumors metastasizing from sigmoid[]

  • Tyrosinemia Type 1

    In the acute type, manifestations of hepatic failure predominate (bleeding diathesis, hypoglycemia, ascites etc) with frequent sepsis and rapid deterioration.[] Infants will typically have a rapid and dramatic onset of fever, emesis, diarrhea, epistaxis, and melena.[] Common features may include: Melena Epistaxis Marked edema Purpuric lesions A distinctive, cabbage-like odor In chronic variants, the symptoms progress slowly and take on[]

  • Liver Cirrhosis

    She continued to produce recurrent melena with hematochezia and received up to 21 units of packed red blood cells.[] The serum-ascites albumin gradient value of 1.9 g/dL and the total protein level in the ascites of 3.1 g/dL indicated the ascites to have been caused by portal hypertension[] The child presented with complaints of malena, hematemesis and variceal bleed.[]

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