A young male with Massive UGI Bleed

A young male aged 25 years p/w Chief Complaints 4-5 episodes of Massive Hemetemesis with accompanying Malaena History Non alcoholic No Jaundice No hepatosplenomegaly No Analgesic intake Investigations UGIE revealed blood in all of stomach and on retroflexion, this finding surprised us.... Management Discuss the characteristic finding and treatment


Bunch of grape appearance due to gastic varices. If no features s/o liver disease, then the differentials will be EHPVO or NCPF which which require a HP Doppler study initially and then to investigate accordingly.

Thank you doctor

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