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Gingival Bleeding in a Heavy Drinker.

Masaya Iwamuro1, Tomohiro Kamio2, Motoyuki Otsuka2

  • 1Gastroenterology and Hepatology, Okayama University Hospital, Okayama, JPN.

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|November 11, 2024
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Summary
This summary is machine-generated.

This case report highlights gingival bleeding from periodontitis as a cause of hematemesis. It stresses considering oral sources when gastrointestinal bleeding is ruled out.

Keywords:
alcoholicesophagogastroduodenoscopygingival bleedingoral lesionsperiodontal disease

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Area of Science:

  • Gastroenterology
  • Dentistry
  • Internal Medicine

Background:

  • Hematemesis, or vomiting blood, often suggests gastrointestinal (GI) bleeding.
  • However, non-GI sources can mimic GI bleeding, necessitating a broad differential diagnosis.

Observation:

  • A 34-year-old Japanese man presented with hematemesis.
  • Esophagogastroduodenoscopy revealed no GI lesions, but significant gingival bleeding was noted.
  • The patient had a history of heavy alcohol consumption, likely impacting oral hygiene.

Findings:

  • The patient was diagnosed with gingival bleeding secondary to severe periodontitis.
  • This case underscores that oral bleeding can manifest as hematemesis.

Implications:

  • Clinicians should consider oral cavity and pharyngolaryngeal examinations in cases of unexplained hematemesis.
  • A comprehensive diagnostic approach is crucial to identify less common bleeding etiologies.
  • Periodontitis should be recognized as a potential cause of significant upper GI bleeding symptoms.