Patient 2, an 82 year old patient with hypertension, diabetes, and a history of coronary heart disease, was sent to the emergency services of the Hospital Cardiovascular del Niño de Cundinamarca HCC with a diagnosis of hematemesis and stage II hypovolemia. The patient was stabilized and transferred to the endoscopy service, where a Forrest 1B ulcer with layered hemorrhaging was discovered. It was located at approximately 2cm along the lesser curvature, near the fundus of the stomach. Endoscopic injection sclerosis with 1:10.000 adrenaline was performed resulting in adequate control.
Paciente de 82 años, hipertenso, diabético, con antecedente de enfermedad coronaria, quien ingresa al servicio de urgencias del Hospital Cardiovascular del Niño de Cundinamarca HCC con cuadro de hematemesis e hipovolemia grado II; es estabilizado y trasladado a unidad de endoscopia donde se aprecia úlcera Forrest IB en curva menor de aproximadamente 2 cms, cerca del fondo gástrico con hemorragia en capa; se decide esclerosar con adrenalina 1:10.000 con adecuado control.