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An unusual cause of melena
  1. K P Basavaraju1,
  2. K Armitage1,
  3. C R Hunt2,
  4. N K Ahluwalia3
  1. 1Department of Gastroenterolgy, Stepping Hill Hospital, Stockport, UK
  2. 2Department of Histopathology, Stepping Hill Hospital, Stockport, UK
  3. 3Department of Gastroenterolgy, Stepping Hill Hospital, Stockport, UK
  1. Correspondence to:
    Dr K P Basavaraju, Department of Gastroenterology, Stepping Hill Hospital, Stockport, UK; krishna.basavarajustockport.nhs.ukRobin Spiller, editor

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Clinical presentation

A 79 year old Caucasian male presented with a two week history of melena. His past medical history included hypertension, atrial fibrillation, and malignant melanoma. He was on warfarin. Examination demonstrated a palpable irregular liver edge and the presence of melena …

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