Patient 3, a 91 year old patient with hypertension a history of coronary heart disease and myocardial revascularization, was sent to the emergency services of the Hospital Cardiovascular del Niño de Cundinamarca HCC with a diagnosis of hematemesis and stages II and III hypovolemia. The patient was stabilized and transferred to the endoscopy service where a Forrest 1B ulcer was discovered. The ulcer had adhered clotting and was jetting blood. It was located on the posterior wall of the duodenal bulb. Its diameter was more than 25 mm figure 6.
Paciente de 91 años, hipertenso, con antecedente de enfermedad coronaria y revascularizacion miocárdica quien ingresa al servicio de urgencias del Hospital Cardiovascular del Niño de Cundinamarca HCC con cuadro de hematemesis e hipovolemia grado II-III, es estabilizado y trasladado a unidad de endoscopia donde se aprecia úlcera Forrest IA en pared posterior del bulbo duodenal de más de 25 mm figura 6 con sangrado en Jet y coágulo adherido.