Abstract

A 65 year old male presented to us with history of 2 episodes of hematemesis in 24 hours. There was history of intermittent abdominal pain after meals. Initial hemoglobin was 5 mg%. Upper GI endoscopy revealed bleeding gastric ulcer with organized clot. Conservative management was done with intravenous proton pump inhibitors. Physical examination revealed marked pallor. There was no lymphadenopathy, splenomegaly, edema, rash, petechiae or bruises. Other system examination was normal. The patient was transfusion of 2 PRBC. First transfusion was uneventful.