Our latest case report from Brady Pregerson, MD, features a woman in her late 70s with a history of AF on rivaroxaban brought to the hospital for 12 hours of coffee ground emesis and epigastric pain. Can you determine the correct diagnosis?
History of Present Illness:
A woman in her late 70’s with a history of Afib on Xarelto is brought by ambulance to the hospital for 12 hours of coffee ground emesis and epigastric pain. She denies melena, bleeding, fever, or diarrhea.
Vital Signs & Physical Exam:
Vital signs are normal except for pulse 102
Physical exam is otherwise normal except for epigastric tenderness and occasional mild coffee ground emesis
Initial Diagnostic Testing:
What is the imaging diagnosis?