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Updated: Jun 17, 2025
Author Spotlight: Point-of-Care Ultrasound for Gastric Content Assessment and Risk Stratification in Perioperative Care
Published on: September 22, 2023
The Value of Ultrasonography in Detecting Gastric Haemorrhage
Erman Uygun1, Omer Emanet2, Emin Gokhan Gencer1
1Department of Emergency Medicine, Yeditepe University Hospital, Istanbul, Turkey.
Abstract:
Gastric intramural haematoma is a very infrequent condition. It can occur due to clotted gastric haemorrhage as a result of peptic ulcer disease, or following trauma, oral anticoagulant therapy and bleeding disorders. It is usually suspected with the symptoms of gastrointestinal haemorrhage such as haematemesis, melena and haematochezia, and detected by endoscopy. In rare cases, the patient is asymptomatic or presents with non-related symptoms and can diagnosed by computerised tomography. In this case, we report the detection of a gastric intramural haematoma during abdominal ultrasonography in a hypotensive patient who was admitted to the emergency department after sliding and falling from a height.
Learning Points:
It is crucial to remember that FAST ultrasound is important in examining five areas, and epigastric bleeding appears hypoechoic, making ultrasound evaluation essential.
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