Abstract
A 51-year-old man was admitted to our hospital with a history of chest pain and vomiting of blood after drinking alcohol. Emergency endoscopy was performed, which showed a hemorrhagic ulcer in the lower esophagus. Successful hemostasis was performed by endoscopic clipping and argon plasma coagulation. Plain CT obtained at admission did not show pneumomediastinum or pleural effusion, and a diagnosis of hemorrhagic esophageal ulcer caused by vomiting was made. A proton pump inhibitor (PPI) was prescribed, and oral intake was resumed on Day 5. Endoscopy revealed improvement of the esophageal ulcer on Day 9, and the patient was discharged on Day 10. Although hemorrhagic esophageal ulcer caused by vomiting is a relatively rare occurrence, it must be considered in the differential diagnosis of upper gastrointestinal bleeding.
