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A 70-year-old male with a history of hepatitis C and alcohol abuse was brought to the emergency department via emergency services with hematochezia. The patient was found to be hypotensive in route and was given blood products. After initial improvement, the patient was actively bleeding and became hypotensive again. He was then transferred to the intensive care unit, and rapid transfusion protocol was initiated. Vasopressors were started. Hematocrit on I-STAT was 21, and hemoglobin resulted at 8.1. Because of continued bleeding, the nasogastric tube was put in; however, there was no blood on return. The patient was also intubated at that time.Upper endoscopy: The normal esophagus with no varices, pale gastric mucosa with small nonbleeding erosions Most current article

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