Gastrointestinal bleeding due to giant gastric bezoar

A 79 year-old man with complaints of abdominal pain, nausea, hematemesis and black stool was admitted to the emergency room (ER) of our university hospital. These symptoms occured 15 hours before his ER admission. He had mentioned fullness in the stomach, a complaint lasting for about six months. Past medical history reported peptic ulcer disease with gastric ulcer perforation and surgical ulcer treatment with vagotomy about 20 years ago. Physical examination revealed gastrointestinal bleeding (GI) indicating melena. Abdomen was not tight, but painful in the epigastrium. Blood analysis showed severe anema with a hemoglobin concentration of 5.4 g/L. The GI endoscopy was failed to bleeding control and endoscopic removal of bezoar. The bezoar was removed successfully and no complication was seen after surgery. He was discharged healthily at seventh day of surgery.