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An elderly male presented to the emergency department with compliant of blood in the vomitus and passing black colored stool since last 1 day. He had a known history of ischemic heart disease and left medical treatment two years back.. He was allergic to aspirin. There was no history of alcohol abuse or NSAID use. His ECHO report showed 50% ejection fraction. On examination, he was having tachycardia and hypotension. Blood chemistry revealed hemoglobin of 6 g%, rest of the blood investigations were normal. USG abdomen was normal. Upper GI endoscopy revealed a lesion in the stomach [Figure 1].
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