An elderly man presenting with an acute upper gastrointestinal bleed: a case report

An 80 year old man presented to the Accident and Emergency Department complaining of “black stools”, increasing shortness of breath, chest tightness and epigastric pain. An upper gastro-intestinal bleed was diagnosed and the patient was managed conservatively with aggressive resuscitation and close monitoring. An oesophogastroduodenoscopy found no cause for the bleeding which ceased and the patient was discharged with a general practitioner follow-up.