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A puzzling cause of melaena
  1. K Tominaga1,
  2. K Hirahata1,
  3. I Maetani1,
  4. H Kowazaki2,
  5. K Tamura3,
  6. J Matsubayashi4
  1. 1
    Division of Gastroenterology, Department of Internal Medicine, Toho University Ohashi Medical Center, Tokyo, Japan
  2. 2
    Division of Gastroenterology, Department of Internal Medicine, Kosei Chuo General Hospital, Tokyo, Japan
  3. 3
    Department of Surgery, Kosei Chuo General Hospital, Tokyo, Japan
  4. 4
    Department of Diagnostic Pathology, Tokyo Medical University, Tokyo, Japan
  1. Dr K Tominaga, Division of Gastroenterology, Department of Internal Medicine, Toho University Ohashi Medical Center, 2-17-6 Ohashi, Meguro-ku, Tokyo 153-8515, Japan; ktominaga{at}oha.toho-u.ac.jp

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CLINICAL PRESENTATION

A 64-year-old man presented with melaena of 2 weeks in duration and with dizziness for the past day. He had smoked an average of 20 cigarettes per day for 30 years and drunk …

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