Summary: The black, tarry, foul-smelling FECES that contain degraded blood.

Top Publications

  1. Namisaki T, Yoshiji H, Fujimoto M, Kojima H, Yanase K, Kitade M, et al. Two cases of colonic tuberculosis presenting with massive melena. Int J Clin Pract. 2004;58:1162-4 pubmed
    The clinical symptoms of colonic tuberculosis are variable, among which massive melena is extremely rare...
  2. Fujisawa M, Ono S, Nakayama Y, Nitta S, Ishiyama S, Shinjoh K, et al. Massive melena caused by a carcinoid of the small intestine: report of a case. Surg Today. 2007;37:1000-3 pubmed
    We report a case of massive melena caused by a carcinoid of the small intestine. A 28-year-old woman was admitted to our department after presenting with massive melena...
  3. Motoki T, Naomoto Y, Hoshiba J, Shirakawa Y, Yamatsuji T, Matsuoka J, et al. Glutamine depletion induces murine neonatal melena with increased apoptosis of the intestinal epithelium. World J Gastroenterol. 2011;17:717-26 pubmed publisher
    ..To investigate the possible biological outcome and effect of glutamine depletion in neonatal mice and rodent intestinal epithelial cells...
  4. Lin C, Cheng Y, Huang W, Lee S. Primary malignant melanoma of the oesophagus presenting with massive melena and hypovolemic shock. ANZ J Surg. 2002;72:62-4 pubmed
  5. Palmer K. Management of haematemesis and melaena. Postgrad Med J. 2004;80:399-404 pubmed
    ..Intravenous omeprazole reduces the risk of re-bleeding in ulcer patients undergoing endoscopic therapy. Repeat endoscopic therapy or operative surgery are required if bleeding recurs...
  6. Hartmann D, Schmidt H, Bolz G, Schilling D, Kinzel F, Eickhoff A, et al. A prospective two-center study comparing wireless capsule endoscopy with intraoperative enteroscopy in patients with obscure GI bleeding. Gastrointest Endosc. 2005;61:826-32 pubmed
    ..However, sensitivity and specificity of capsule endoscopy have not been adequately defined. We, therefore, compared capsule endoscopy by using intraoperative enteroscopy as a criterion standard in patients with obscure GI bleeding...
  7. Dawson M, Polizzotto M, Gordon A, Roberts S, Spencer A. Extramedullary relapse of multiple myeloma presenting as hematemesis and melena. Nat Clin Pract Oncol. 2006;3:223-6; quiz 227 pubmed
    ..She presented with hematemesis and melena following salvage chemotherapy with dexamethasone, cyclophosphamide, etoposide, cisplatin, and rescue therapy with ..
  8. Kostakou C, Khaldi L, Flossos A, Kapsoritakis A, Potamianos S. Melena: a rare complication of duodenal metastases from primary carcinoma of the lung. World J Gastroenterol. 2007;13:1282-5 pubmed
    ..We describe a case of a 61- year old patient with primary adenocarcinoma of the lung, presenting with melena as the first manifestation of small bowel metastasis...
  9. Mestiri S, Karoui M, Charachon A, Deux J, Chaumette M. Intravascular papillary endothelial hyperplasia of the jejunum: an unusual cause of melena. Int J Surg Pathol. 2007;15:192-5 pubmed
    ..The patient was referred to the hospital with a 1-week history of melena. The lesion did not recur after surgery...

More Information

Publications179 found, 100 shown here

  1. Lanas A, Garcia Rodriguez L, Polo Tomas M, Ponce M, Alonso Abreu I, Perez Aisa M, et al. Time trends and impact of upper and lower gastrointestinal bleeding and perforation in clinical practice. Am J Gastroenterol. 2009;104:1633-41 pubmed publisher
  2. Palamidessi N, Sinert R, Falzon L, Zehtabchi S. Nasogastric aspiration and lavage in emergency department patients with hematochezia or melena without hematemesis. Acad Emerg Med. 2010;17:126-32 pubmed publisher
    The utility of nasogastric aspiration and lavage in the emergency management of patients with melena or hematochezia without hematemesis is controversial...
  3. Zhu H, Yu J, Luo J, Jiang Y, Li J, Sun W. Gastric adenomyoma presenting as melena: a case report and literature review. World J Gastroenterol. 2010;16:1934-6 pubmed
    ..Although gastric AM is rare, it should be considered in differential diagnosis of extramucosal gastric tumor...
  4. Angel C, Chand N, Sankar A, Rowen J, Murillo C. Gastric wall erosion by an amebic liver abscess in a 3-year-old girl. Pediatr Surg Int. 2000;16:429-30 pubmed
    ..ALAs in children can have atypical presentations, resulting in delayed diagnosis and increased morbidity and mortality. Timely treatment is usually followed by complete recovery. ..
  5. Akiyama N, Ohwada A, Kajiwara K, Ohtake H, Hayama M, Kohri M, et al. [Granulocytic sarcoma of the colon in chronic myelomonocytic leukemia]. Rinsho Ketsueki. 2002;43:937-42 pubmed
    ..history of chronic myelomonocytic leukemia (CMML) was admitted to the Kitasato University Hospital because of melena in September 2000...
  6. Füredi G, Altorjay A, Varga I, Illés I, Kovács C, Békefi P, et al. [Late metastases of cutaneous malignant melanoma on the abdominal wall to the small and large bowel]. Magy Seb. 2005;58:241-4 pubmed
    ..Five years later he presented with complaints of epigastric pain, melena, hematochezia, anorexia and fatigue...
  7. Inui D, Ohto J, Nishimura M. Massive melena due to arginine-vasopressin for septic shock in two pediatric patients. Paediatr Anaesth. 2008;18:90-1 pubmed
  8. Tan C, Kim G, So J, Shabbir A. Single-Incision Laparoscopic Transgastric Underrunning and Closure of Cameron Ulcers in Acute Gastrointestinal Bleeding. J Gastrointest Surg. 2018;22:553-556 pubmed publisher
    ..Our patient is a 75-year-old Chinese lady, who presented to the emergency department with fresh melena. She was hemodynamically unstable with severe metabolic acidosis...
  9. Liu T, Zhang S, Mao H. Gastrointestinal malignant neoplasms disguised as pneumatosis cystoids intestinalis: A case report and literature review. Medicine (Baltimore). 2017;96:e9410 pubmed publisher
    ..gastrointestinal department with complaints of intermittent abdominal pain, distention, diarrhea, and occasional melena that persisted for 2 months. He has a history of nasopharyngeal carcinoma...
  10. Mrusek S, Kruger M, Greiner P, Kleinschmidt M, Brandis M, Ehl S. Henoch-Schönlein purpura. Lancet. 2004;363:1116 pubmed
  11. Taylor R. Tc-99m-labeled red blood cell scan showing gastrointestinal bleeding point, and also showing an incidental hepatic hemangioma. Clin Nucl Med. 2004;29:211-3 pubmed
  12. Nakaji K, Nakae Y, Fujita A, Kumamoto M, Nakamura Y. [A case of melena and perforation during chemotherapy for peripheral T-cell lymphoma, not otherwise specified of the small intestine]. Nihon Shokakibyo Gakkai Zasshi. 2013;110:1950-8 pubmed
    ..Following four courses of THP-COP chemotherapy, he developed intestinal perforation and underwent partial resection of the small intestine. He is currently undergoing further chemotherapy. ..
  13. Cholongitas E, Pipili C, Dasenaki M. Recurrence of upper gastrointestinal bleeding after donepezil administration. Alzheimer Dis Assoc Disord. 2006;20:326 pubmed
  14. Liu K, Tsang Y, Lin J, Wang H. Double lumen duodenum in a patient with melaena. Gut. 2008;57:343, 364 pubmed publisher
  15. Galván Montaño A, Suárez Roa M, Estrada Hernández M. [Jejunal intussusceptions as a lead point ectopic pancreatic tissue in a 1-year-old male. Case report]. Cir Cir. 2012;80:546-9 pubmed
    ..Often a lesion is demonstrable as a lead point for the intussusceptions and therefore requires open or laparoscopic surgery. In this case, it was unusual to have the presence of ectopic pancreatic tissue as a lead point. ..
  16. Feng F, Tian Y, Guo M, Liu S, Xu G, Liu Z, et al. Comparison of clinicopathological features and prognosis of gastric cancer located in the lesser and greater curve. Clin Transl Oncol. 2017;19:457-463 pubmed publisher
    ..7 %) and 96 located in the greater curve (12.3 %). The incidence of melena was significantly lower in patients with tumors located in the lesser curve than that in the greater curve (8...
  17. Moschos J, Leontiadis G, Kelly C, Henry J, Kadis S. Idiopathic portal hypertension complicating systemic sclerosis: a case report. BMC Gastroenterol. 2005;5:16 pubmed
    ..Taking into account the above evaluation we concluded that the patient had idiopathic portal hypertension. Both male and female patients with systemic sclerosis may -- rarely -- develop idiopathic portal hypertension. ..
  18. Bravo E, Garcia C, Zegarra A, Piscoya A, Pinto J, de los Ríos R, et al. [Stromal tumor of esophagus: case report]. Rev Gastroenterol Peru. 2011;31:169-72 pubmed
    ..We report a 75 years-old male with a medical history of dysphagia who presented upper gastrointestinal bleeding caused by an esophageal GIST. The patient did not undergo surgery because of severe chronic heart failure. ..
  19. Turhan E. Evaluation of the Knowledge Levels of 50-Year-Old and Older Individuals Regarding Colorectal Cancer. J Cancer Educ. 2017;32:467-475 pubmed publisher
    ..It was detected that 29.8 % had fatigue, 27.5 % had abdominal pain, 14.9 % had melena, and 10.3 % had constipation or diarrhea in the last 3 months. The mean colorectal cancer knowledge score was 6...
  20. Inoki K, Nakajima T, Nonaka S, Abe S, Suzuki H, Yoshinaga S, et al. Feasibility of endoscopic resection using bipolar snare for nonampullary duodenal tumours in familial adenomatous polyposis patients. Fam Cancer. 2018;17:517-524 pubmed publisher
    ..No intraoperative or delayed perforations were observed. Melena was encountered in one patient and managed without emergent endoscopic intervention...
  21. Saito K, Koizumi K, Goto Y, Yamamoto K, Abe K. Localization of small bowel bleeding by arterial injection of Tc-99m-labeled RBC. Ann Nucl Med. 1999;13:191-4 pubmed
    A 79-year-old man with melena was suspected of having small bowel bleeding because upper and lower endoscopic findings were negative...
  22. Miyamoto H, Okahisa T, Iwaki H, Murata M, Ito S, Nitta Y, et al. Influence of leukocytapheresis therapy for ulcerative colitis on anemia and hemodynamics. Ther Apher Dial. 2007;11:16-21 pubmed
    ..However, considering the exacerbation of anemia in patients with severe ulcerative colitis caused by massive melena, monitoring with a less invasive Crit-Line monitor and a vital information monitor might be useful.
  23. Kim K, Kim T, Kim S, Lee J. Characteristics of delayed hemorrhage after endoscopic sphincterotomy. J Gastroenterol Hepatol. 2010;25:532-8 pubmed publisher
    ..Although most hemorrhage occurs immediately after EST, delayed hemorrhage may occur, even several days after EST. We analyzed the incidence, clinical features, treatment and risk factors for delayed hemorrhage following EST...
  24. Miyamoto M, Haruma K, Okamoto T, Higashi Y, Hidaka T, Manabe N. Continuous proton pump inhibitor treatment decreases upper gastrointestinal bleeding and related death in rural area in Japan. J Gastroenterol Hepatol. 2012;27:372-7 pubmed publisher
    ..UGIB was defined as cases with hematemesis and/or melena and definite bleeding at upper gastrointestinal endoscopy...
  25. Gu M, Choi J, Kim S. Atypical florid vascular proliferation in appendix: a diagnostic dilemma. Diagn Pathol. 2013;8:12 pubmed publisher
    ..A 41-year old male presented with melena. Adhesioned blood clots in the appendiceal orifice were observed by colonoscopy...
  26. Mazigh M rad S, Boukthir S, Aissa K, Fetni I, Barsaoui S. [Upper gastrointestinal endoscopy in neonates--experience of pediatric gastroenterology unit]. Tunis Med. 2006;84:607-10 pubmed
    ..5% versus 15.8% and 9.8% (P = 0.04). Digestive hemorrhage (hematemesis and/or melena) was more frequent in group III than in group II and I, respectively 90.2% versus 78.9% and 63.6% (P = 0.03)...
  27. Nouri Merchaoui S, Mahdhaoui N, Trabelsi S, Seboui H. [Spontaneous neonatal arterial thrombosis: a report of 4 neonates]. Arch Pediatr. 2012;19:413-8 pubmed publisher
    ..with arterial high blood pressure in 1 patient affected by thrombosis of the abdominal aorta and by anuria with melena in a newborn with aortic and mesenteric thrombosis...
  28. Iacob R, Dimitriu A, Stanciulea O, Herlea V, Popescu I, Gheorghe C. Enteroscopic Tattooing for Better Intraoperative Localization of a Bleeding Jejunal GIST Facilitates Minimally Invasive Laparoscopically-assisted Surgery. J Gastrointestin Liver Dis. 2016;25:105-8 pubmed publisher
    We present the case of a 63-year-old man that was admitted for melena and severe anemia...
  29. Aly M, Ali S, Muianga A, Monteiro V, Gallego J, Weyer J, et al. Severe Chikungunya infection in Northern Mozambique: a case report. BMC Res Notes. 2017;10:88 pubmed publisher
    ..We recommend that clinicians should consider Chikungunya in the differential diagnosis of febrile illness in locations where Aedes aegypti mosquitos are abundant. ..
  30. Scharff J, Longo W, Vartanian S, Jacobs D, Bahadursingh A, Kaminski D. Ischemic colitis: spectrum of disease and outcome. Surgery. 2003;134:624-9; discussion 629-30 pubmed
    ..Fifty-four of 129 patients (42%) had ischemic colitis in-hospital. Fifty-six of 129 patients (43%) had melena; 49 of 56 patients (88%) survived...
  31. Enestvedt B, Gralnek I, Mattek N, Lieberman D, Eisen G. Endoscopic therapy for peptic ulcer hemorrhage: practice variations in a multi-center U.S. consortium. Dig Dis Sci. 2010;55:2568-76 pubmed publisher
    ..Adult patients who underwent upper endoscopy (EGD) for hematemesis, melena or "suspected upper GI bleed" between January 2000 and December 2004 in the Clinical Outcomes Research ..
  32. Ray S, Mridha A, Ahammed M. Diffuse splenic infarction in a case of severe acute pancreatitis. Am J Surg. 2011;201:e23-5 pubmed publisher
    ..The authors report a case of diffuse splenic infarction in a 17-year-old boy with severe acute pancreatitis who presented with massive upper gastrointestinal bleeding and was treated with splenectomy. ..
  33. Smith A, Bai D, Marroquin C, Tuttle Newhall J, Desai D, Collins B, et al. Gastrointestinal hemorrhage due to complicated gastroduodenal ulcer disease in liver transplant patients taking sirolimus. Clin Transplant. 2005;19:250-4 pubmed
  34. Tan E, Friedman M, Coppola D. Occurrence of Multiple Tumors in a Patient. Cancer Control. 2015;22:505-7 pubmed
    ..The patient complained of melena, which was found to be due to metastatic myxofibrosarcoma in the transverse colon...
  35. Higaki S, Saito Y, Akazawa A, Okamoto T, Hirano A, Takeo Y, et al. Bleeding Meckel's diverticulum in an adult. Hepatogastroenterology. 2001;48:1628-30 pubmed
    ..This is a report of an adult case of bleeding Meckel's diverticulum with ectopic gastric mucosa in whom mechanical stimulation was suggested as a cause of the erosion and ulceration, resulting in bleeding. ..
  36. Koornstra J, Peeters P, van den Berg A, van der Jagt E. Photo quiz. Melaena in a liver transplant recipient. Neth J Med. 2006;64:28,30 pubmed
  37. Xiao Y, Chen L. [Clinical analysis of 163 patients with remnant gastric cancer]. Zhonghua Wei Chang Wai Ke Za Zhi. 2015;18:1253-5 pubmed
    ..7%) patients manifested as discomfort in the upper abdominal region, 47(28.8%) patients had hematemesis and melena, 38(23.3%) had vomiting, 17(10.4%) had swallowing difficulty and 12 (7.4%) had decreased weights...
  38. Coban E, Samur M, Bozcuk H, Ozdogan M. The value of CEA and CA 19-9 in detecting cancer in a group of high-risk subjects with gastrointestinal symptoms. Int J Biol Markers. 2003;18:177-81 pubmed
    ..Seventeen patients were diagnosed as having intraabdominal cancers. With the presence of melena (RR = 101.63, p = 0.007), nonspecific gastrointestinal symptoms (RR = 12.54, p = 0.026), increasing age (RR = 1...
  39. Obokhare I, Beckman E, Beck D, Whitlow C, Margolin D. Intramural colonic splenosis: a rare case of lower gastrointestinal bleeding. J Gastrointest Surg. 2012;16:1632-4 pubmed publisher
    A 41-year-old man had left upper quadrant abdominal pain, constipation, and melena. About 6 years previously, he received a single gunshot wound to the abdomen, which required partial gastrectomy and small bowel resection...
  40. Ambepitiya S, Michiue T, Bessho Y, Kamikodai Y, Ishikawa T, Maeda H. An unusual presentation of thoracic aortic aneurysm rupturing into the esophagus: an autopsy case report. Forensic Sci Med Pathol. 2010;6:121-6 pubmed publisher
    ..A 79-year-old male was brought to a hospital emergency unit, with a history of melena for about 3 days, and recent hematemesis. He collapsed immediately after endoscopy and died...
  41. Basagiannis C, Panagoulias G, Tentolouris N, Basoukeas S, Sambaziotis D, Ladas S. Whipple disease. South Med J. 2010;103:353-6 pubmed publisher
    ..We present two patients with WD. The first presented with melena and generalized hyperpigmentation. The second had depression for two years before the typical symptoms...
  42. Liao C, Kuo W, Huang E, Hsieh A, Le C, Tsai C, et al. A diagnostic dilemma: acute abdomen presenting as segmental arterial mediolysis masked by a ruptured hepatocellular carcinoma. Gastroenterol Rep (Oxf). 2015;: pubmed
    ..The patient had developed episodes of melena following progressive abdominal muscular guarding and drop of haemoglobin level to 6.3 g/dL...
  43. Zhang G, Luo C, Zhao B, Zhan H, Long B, Guo L, et al. [Small intestinal cavernous hemangioma causing chronic hemorrhage: a case report]. Nan Fang Yi Ke Da Xue Xue Bao. 2017;37:866-868 pubmed
    ..of weakness and dizziness for 2 years that aggravated 1 month before admission accompanied by intermittent melena. Laboratory tests suggest severe anemia, and computed tomography, gastroscopy and colonoscopy all revealed signs ..
  44. Lim C, Chalmers D. Upper gastrointestinal haemorrhage. Postgrad Med J. 2004;80:492, 494 pubmed
  45. Fontenot B, Salvatierra E, Morris J, Johnson A. A 30-year-old man with syncope and melena. J La State Med Soc. 2006;158:127-32 pubmed
  46. Corti M, Metta H, Palmieri O, Schtirbu R. [Acute phlegmonous gastritis in a patient with AIDS]. Enferm Infecc Microbiol Clin. 2007;25:218-20 pubmed
  47. Belle J, Feiler M, Pappas T. Laparoscopic surgical treatment for refractory gastric antral vascular ectasia: a case report and review. Surg Laparosc Endosc Percutan Tech. 2009;19:e189-93 pubmed publisher
    ..successful laparoscopic distal gastrectomy and gastrojejunostomy with resolution of symptomatic anemia and melena. Clinical findings, diagnosis, etiology, and treatment of GAVE are reviewed here, with discussion of safety and ..
  48. Yamashita K, Okumura H, Oka Y, Urakami A, Shiotani A, Nakashima H, et al. Minimally invasive surgery using intraoperative real-time capsule endoscopy for small bowel lesions. Surg Endosc. 2013;27:2337-41 pubmed publisher
    ..We employed this procedure in two patients with repeated melena. Various examinations including gastroendoscopy and total colonoscopy showed bleeding confined to the small bowel, ..
  49. Yamauchi K, Iwamuro M, Ishii E, Narita M, Hirata N, Okada H. Gastroduodenal Intussusception with a Gastric Gastrointestinal Stromal Tumor Treated by Endoscopic Submucosal Dissection. Intern Med. 2017;56:1515-1519 pubmed publisher
    A 95-year-old Japanese woman presented to our hospital with intermittent vomiting and several episodes of melena. Abdominal computed tomography revealed intussusception of the gastric tumor into the duodenum...
  50. Keroack M, Peralta R, Abramson S, Misdraji J. Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 24-2004. A 48-year-old man with recurrent gastrointestinal bleeding. N Engl J Med. 2004;351:488-95 pubmed
  51. Kuhne H, Goller T, Schneider I, Bozkurt T, Becker H. [Unclear per anum bleeding during pregnancy]. Chirurg. 2005;76:765-8 pubmed
    ..Seeking a prognosis optimal for the newborn child, the interdisciplinary decision was made for primary surgery with adjuvant chemotherapy. Other options for this malignancy during and after pregnancy are also discussed. ..
  52. Antiga E, Melani L, Caproni M, Fabbri P. An unusual cause of gastrointestinal bleeding in a young girl. CMAJ. 2006;175:583 pubmed
  53. Barros R, Monteverde M, dElizalde S, Barros A, Barros R. [Gastrointestinal histoplasmosis: an atypical presentation]. Acta Gastroenterol Latinoam. 2013;43:31-5 pubmed
    ..We consider that the described endoscopic lesions in rectum are of a particular morphology and can rarely be found in other pathologies. The diffusion of these images could warn other endoscopists of these phenomena. ..
  54. Gerdin J, McDonough S, Reisman R, Scarlett J. Circumstances, Descriptive Characteristics, and Pathologic Findings in Dogs Suspected of Starving. Vet Pathol. 2016;53:1087-94 pubmed publisher
    ..absence of subcuticular fat; serous atrophy of omental, perirenal, epicardial, and bone marrow fat; atrophy of the liver, skin, thyroid gland, and testicle; gastric mucosal petechiae and ecchymoses; melena; and splenic hemosiderophages.
  55. Viron B, Kolta A, Kiladjian J, Mignon F, Mayeux P, Casadevall N. [Antibodies against human recombinant erythropoietin: an unusual cause of erythropoietin resistance]. Nephrologie. 2002;23:19-22 pubmed
    ..Anti-rHu EPO immunisation is a very rare occurrence, made severe by transfusion-dependence and the risk of hemosiderosis. An immuno-modulating treatment can therefore be justified. ..
  56. Szabo K, Németh A, Racz I, Olah A. [Surgical treatment of small intestinal diseases, causing hemorrhage, and diagnosed with capsule endoscopy]. Magy Seb. 2003;56:127-30 pubmed
    ..The postoperative periods were uneventful. All patients are free of symptoms since the procedure. Capsule endoscopy was able to localise the source of intestinal bleeding, when conventional diagnostic methods were ineffective. ..
  57. Shin J, Cheon J, Lim J, Park J, Moon C, Jeon S, et al. Long-term outcomes of obscure gastrointestinal bleeding after CT enterography: does negative CT enterography predict lower long-term rebleeding rate?. J Gastroenterol Hepatol. 2011;26:901-7 pubmed publisher
    ..However, negative CTE results do not predict lower long-term rebleeding, and such patients with OGIB should be closely observed. In patients with positive CTE, more vigorous management significantly reduces the incidence of rebleeding. ..
  58. Hrabovsky V, Mendlová A, Zadak Z, Blaha V, Hyspler R, Ticha A, et al. Cholesterol metabolism in acute upper gastrointestinal bleeding, preliminary observations. Wien Klin Wochenschr. 2012;124:815-21 pubmed publisher
    ..These findings of alterations in both the CH synthesis and absorption process could be a contributory cause of hypocholesterolemia during acute gastrointestinal bleeding. However, further research is necessary. ..
  59. Esmadi M, Ahmad D, Duff D, Hammad H. Mantle cell lymphoma of the colon. Endoscopy. 2014;46 Suppl 1 UCTN:E126-7 pubmed publisher
  60. Brandimarte G, Tursi A, Elisei W, Annunziata V, Monardo E. Symptomatic gastric leiomyoma mimicking giant gastric polyp: endoscopic diagnosis and removal. Eur Rev Med Pharmacol Sci. 2004;8:107-10 pubmed
    ..A 67-years-old patient was admitted to our attention due to two episodes of hematemesis and melena occurred in the previous two days...
  61. Ko S, Ko S, Ha S, Kim M, Shin H, Baeg M. A case of a duodenal duplication cyst presenting as melena. World J Gastroenterol. 2013;19:6490-3 pubmed publisher
    ..We present a case of a duodenal duplication cyst in a 43-year-old man presenting as melena. Initial gastroduodenoscopy and colonoscopy did not reveal any bleeding focus...
  62. Bansal R, Sharma P, Kaur R, Arora A. Primary gastric adenosquamous carcinoma in an Indian male. Indian J Pathol Microbiol. 2013;56:416-8 pubmed publisher
    ..A subtotal gastrectomy was done in view of massive uncontrolled bleed. Histology showed evidence of ASC of the body and antrum with metastasis to the liver, perigastric lymph nodes and peritoneal and pleural cavity. ..
  63. Mesina C, Pasalega M, Calotă F, Comanescu V, Vilcea D, Tenea T, et al. [Hemorrhagic intestinal lymphangioma --report of a case]. Chirurgia (Bucur). 2006;101:201-4 pubmed
    ..the case of a male patient, 57 years old, admitted to the hospital for upper digestive bleeding revealed by melena stools. The upper digestive endoscopy has not discovered the source of bleeding...
  64. Kaw L, Saeed M, Brunson M, DeLaria G, Dilley R. Use of a stent graft for bleeding hepatic artery pseudoaneurysm following pancreaticoduodenectomy. Asian J Surg. 2006;29:283-6 pubmed
    ..There was no recurrence of bleeding at the 6-month follow-up. To our knowledge, this is the first report of stent graft repair of bleeding hepatic artery pseudoaneurysm following pancreaticoduodenectomy. ..
  65. Shah S, Amarapurkar A, Prabhu S, Kumar V, Gangurde G, Joshi R. Splenic mass and isolated gastric varices: a rare presentation of a neuroendocrine tumor of the pancreas. JOP. 2010;11:444-5 pubmed
    ..A 75-year-old male presented with hematemesis and melena. Esophagogastroduodenoscopy revealed isolated gastric varices...
  66. Prelipcean C, Fierbinteanu Braticevici C, Drug V, Lăcătuşu C, Mihai B, Mihai C. [Liver cirrhosis--procoagulant stasis]. Rev Med Chir Soc Med Nat Iasi. 2011;115:678-85 pubmed
    ..Clinical studies examining safety and efficacy of the various products for the different bleedeing or trombotic complications of liver cirrhosis need to be initiaded. ..
  67. Imran Hamid U, Booth K, McManus K. Is the way to a man's heart through his stomach? Enteropericardial fistula: case series and literature review. Dis Esophagus. 2013;26:457-64 pubmed publisher
    ..Where an enteropericardial fistula is present, defunctioning of the upper GI tract or repair with transposition of vascularized tissue gives a better chance of a successful outcome. [Table: see text]. ..
  68. Cai J, Yu H. Giant polypoid gastric heterotopia in the small intestine in a boy: A case report and literature review. Medicine (Baltimore). 2017;96:e5854 pubmed publisher
    ..A 15-year-old boy visited us for investigation of recurrent episodes of melena. Capsule endoscopy (CE) revealed a polypoid tumor in the ileum, with an active nearby hemorrhage...
  69. Byrd V, Nemeth A. A Case of Infective Endocarditis and Spinal Epidural Abscess Caused by Streptococcus mitis Bacteremia. Case Rep Infect Dis. 2017;2017:7289032 pubmed publisher
    A 57-year-old man presented with abdominal pain, hematemesis, and melena. He reported taking high-dose ibuprofen for back pain and drinking several 24-ounce beers daily...
  70. Brown R, Yassin J, Colville D, Harland S, Payne H. First report of an isolated jejunal seminoma: presentation with melaena and iron deficiency anaemia. Clin Oncol (R Coll Radiol). 2001;13:455-7 pubmed
    ..The rarity of seminoma involving the small bowel is highlighted. A literature search did not reveal other similar cases of isolated seminoma affecting the jejunum. The possible origins of this tumour are discussed. ..
  71. Kennedy J, Hanly E, Marohn M, Arciero C, Mittendorf E. Management of giant gastric ulcers: case report and review of the literature. Curr Surg. 2004;61:220-3 pubmed
  72. Trevisani L, Gaudenzi P. Medical image. Erosion of a vascular prostheses by the duodenum. N Z Med J. 2004;117:U1027 pubmed
  73. Jung S, Kim C, Chun H, Kim Y, Jeen Y, Lee H, et al. GI stromal tumor diagnosed by capsule endoscopy in a patient with neurofibromatosis type 1. Gastrointest Endosc. 2006;64:127-8; discussion 128 pubmed
  74. Cappell M, Lufadeju A, Challa A, Katz P. Seeding of the percutaneous endoscopic gastrostomy tract from esophageal squamous cell cancer presenting as an acutely bleeding malignant gastric ulcer: a novel clinicoendoscopic presentation. South Med J. 2008;101:35-9 pubmed publisher
    ..A male patient was admitted for melena with a growing abdominal wall mass at a former PEG stoma...
  75. Taguchi H, Yamamoto H, Miyata T, Hayashi Y, Sunada K, Sugano K. In vivo diagnosis of whipworm (Trichuris trichiura) with high-definition magnifying colonoscope (with video). Gastrointest Endosc. 2008;68:376-7; discussion 377 pubmed publisher
  76. McGregor R, Keir J, Wilson G, Dawson C. A new way of monitoring and nursing patients with melaena. Ann R Coll Surg Engl. 2003;85:131-2 pubmed
  77. Zarin M, Ali S, Majid A, Jan Z. Gastroduodenal artery aneurysm - Post traumatic pancreatic pseudocyst drainage - An interesting case. Int J Surg Case Rep. 2018;42:82-84 pubmed publisher
    ..Our patient presented with melena one month post operatively...
  78. Koroshi A, Babameto A. Acute renal failure during acute fatty liver of pregnancy. Nephrol Dial Transplant. 2002;17:1110-2 pubmed
  79. Green S. Bad bugs travel as well as happy holidaymakers. BMJ. 2002;325:905 pubmed
  80. Bai Y, Xu C, Zou D, Gao J, Li Z. Diagnostic accuracy of features predicting lower gastrointestinal malignancy: a colonoscopy database review of 10,603 Chinese patients. Colorectal Dis. 2011;13:658-62 pubmed publisher
    ..66, 0.96 and 2.77, respectively. A large proportion of Chinese patients with CRC presented without features indicative of tumour formation. ..
  81. Kim J, Kim N, Park H, Jo H, Shin C, Lee S, et al. [Clinical characteristics of patients diagnosed as peptic ulcer disease in the third referral center in 2007]. Korean J Gastroenterol. 2012;59:338-46 pubmed
    ..pylori and NSAIDs was found to be 40.6% (126 patients). Among 310 PUD patients, bleeding symptoms such as melena, hematemesis and hematochezia occurred in 110 patients (35.5%)...
  82. Xu Y, Jiang Y, Zhi Y, Yin J, Wang L, Wen L, et al. Clinical features of hereditary angioedema in Chinese patients: new findings and differences from other populations. Eur J Dermatol. 2013;23:500-4 pubmed publisher
    ..Ethnic or environmental differences may contribute to this finding. Melaena and gastric mucosa inverting into the oesophagus secondary to edema are first reported here. ..
  83. Schuring C, Mountjoy L, Priaulx A, Schneider R, Smith H, Wall G, et al. Atrio-Esophageal Fistula: A Case Series and Literature Review. Am J Case Rep. 2017;18:847-854 pubmed
    ..white male presented 27 days after percutaneous RFA for atrial fibrillation with fever, altered mental status, and melena. Esophagogastroduodenoscopy (EGD) revealed a 1-cm defect in the mid-esophagus...
  84. Shiga S, Fujimoto H, Mori Y, Sakata T, Hamaguchi Y, Wang F, et al. Immature granulocyte count after liver transplantation. Clin Chem Lab Med. 2002;40:775-80 pubmed
    ..2%). The IG peak was detected on the 19th day after transplantation. We observed serious complications, such as melena, rejection, or severe infection, in high IG (500/microl or higher) cases...
  85. Kim K, Woo E, Rosato E, Kochman M. Pancreatic foreign body: Ingested toothpick as a cause of pancreatitis and hemorrhage. Gastrointest Endosc. 2004;59:147-50 pubmed
  86. Macchia G, Morganti A, Valentini V, Trodella L, Brizi M, Cina G, et al. Mesenteric vein thrombosis after surgery and radiotherapy for pancreatic carcinoma. A case report. Tumori. 2004;90:262-4 pubmed
    ..Twenty-five months postoperatively, mesenteric vein thrombosis was diagnosed after an episode of melena and was treated with conservative therapy...
  87. Sanjay P, Raman S, Shannon J, Williams G, Woodward A. Gastric epithelioid haemangioendothelioma: a rare cause of upper gastrointestinal bleeding. Postgrad Med J. 2005;81:e7 pubmed
    ..This case highlights the difficulty in diagnosing this rare tumour preoperatively and emphasises the need for long term follow up in view of its uncertain metastatic potential. ..
  88. Lieberman D, Holub J, Eisen G, Kraemer D, Morris C. Prevalence of polyps greater than 9 mm in a consortium of diverse clinical practice settings in the United States. Clin Gastroenterol Hepatol. 2005;3:798-805 pubmed
    ..The prevalence of a colon lesion >9 mm varies on the basis of age, gender, race, and procedure indication. Understanding utilization and outcomes can lead to more optimal use of colonoscopy. ..
  89. Maehira H, Shimizu T, Sonoda H, Mekata E, Yamaguchi T, Miyake T, et al. A rare case of primary choriocarcinoma in the sigmoid colon. World J Gastroenterol. 2013;19:6683-8 pubmed publisher
    ..There is no standard chemotherapeutic regimen for this tumor type. A 68-year-old man presented with melena and was diagnosed with sigmoid colonic adenocarcinoma with multiple liver metastases...
  90. Ortuño Moreno M, Ferri Niguez B, Martínez Barba E, Fernández Hernández J. An ulcerated gastric ulcer and pseudotumour with pancreatic affectation associated with immunoglobulin G4-related disease: a case report and literature review. Rev Esp Enferm Dig. 2017;110: pubmed publisher
    ..of a 67 year old male who presented with a nine year history of a gastric ulcer with symptoms of hematemesis and melena. Histological analysis identified fibrotic lesions and the accumulation of immunoglobulin G4-positive plasma cells ..
  91. Sugiki T, Hatori T, Takasaki K, Yoshida K. [A case of the small intestinal tumor with repeated massive melena]. Nihon Shokakibyo Gakkai Zasshi. 2003;100:48-51 pubmed
  92. Carney P, Murugasu A, Duggan A. Whipple's disease: a rare cause of haematemesis and melaena. Eur J Gastroenterol Hepatol. 2005;17:773 pubmed