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Massive upper GI bleeding: A rare complication of Zenker's diverticulum

Bleeding from a Zenker's diverticulum is rare and since documented cases in the literature are very few, no guidelines exist for the management of this potentially life-threatening condition. The pathophysiology of the ulceration is also unknown. We present a case of acute massive bleeding in a patient with Zenker's diverticulum and discuss a possible mechanism for this rare complication.

Case History

A 71-year-old man was urgently admitted to our department of general surgery from the emergency room due to hematemesis. His medical background showed that he suffered from hypertension, ischemic heart disease, diabetes mellitus, chronic obstructive pulmonary diseases and dyslipidemia. His ...

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