of Patients Percentage Chest pain 40 65
Hematemesis 6 10 Vomiting 29 47 Dysphagia 59 95 Drooling of secretions 37 60 Abdominal pain 9 15 Table 6.
Hematemesis as an initial symptom of multiple myeloma has been reported in only one case report (7).
Thus, the clinicians should be academic in investigating the patients, especially when recognizing red flag findings related to gastrointestinal tract such as
hematemesis and unexplained weight loss in this patient.
It was determined that the mid greater curvature site in the body of the stomach most likely represented the source of the
hematemesis.
For our patient who was evaluated for abdominal pain, nausea, and
hematemesis, intragastric mass in the abdominal CT and a history of trichophagia were alerting signs for gastric trichobezoar.
Dieulafoy's lesion mostly presents with massive, usually recurrent hemorrhage, which can take the form of
hematemesis, melena, fresh bleeding per rectum, or hematochezia.
Other physical examinations, including fiber optic endoscopic work for dysphagia and
hematemesis, revealed no evidence of trismus, cervical lymphadenopathy, or accompanying head and neck pathology.
A 70-year-old man with a history of colon cancer (locally advanced mucinous adenocarcinoma of the right colon, requiring right colectomy and adjuvant chemotherapy) presented one year after first surgery with recurrent
hematemesis and melena, persistent nausea and vomiting, and weight loss.
There was no abdominal pain, nausea, vomiting,
hematemesis, melena, or weight loss, and the physical examination and standard laboratory tests were within normal limits.
She was admitted for further workup, and her course was complicated by
hematemesis. An esophagogastroduodenoscopy (EGD) showed stable ulcers with no need for cauterization.