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Updated: Aug 28, 2025

Simultaneous Laryngopharyngeal and Conventional Esophageal pH Monitoring
Published on: December 14, 2020
Upper gastrointestinal blood cast due to massive oropharyngeal bleeding
Kartikeya Rajdev1, Samih Khauli1, Karim El-Kersh2
1Pulmonary, Critical Care & Sleep Medicine, University of Nebraska Medical Center, Omaha, Nebraska, USA.
Abstract:
We present a case of a patient with recurrent squamous cell cancer of the base of the tongue and right tonsil who developed severe haematemesis. An elongated blood cast of the upper gastrointestinal tract was noted in the emesis. The patient required emergent intubation and blood transfusions. A CT scan with contrast revealed the presence of a pseudoaneurysm of the right lingual artery. Successful control of bleeding was achieved with coil embolisation of the pseudoaneurysm and its feeding artery. This case highlights that oropharyngeal bleeding can mimic gastrointestinal bleeding.
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