ABSTRACT

A 69-year-old man was presented to hospital complaining of a 6-h history of abdominal pain and several episodes of vomiting small amounts (approximately one tablespoon on each occasion) of blood. The patient denied any fevers or recent illnesses and did not report any change to his bowel motions. His past medical history included previous peptic ulcer disease, ischaemic heart disease, and osteoarthritis. He had no known drug allergies. He was a retired teacher who lived with his partner, smoked 10 cigarettes per day, and drank 15–20 units of alcohol per week.