Upper gastrointestinal blood cast due to massive oropharyngeal bleeding

Kartikeya Rajdev, Samih Khauli, Karim El-Kersh

Research output: Contribution to journalArticlepeer-review


We present a case of a patient with recurrent squamous cell cancer of the base of the tongue and right tonsil who developed severe haematemesis. An elongated blood cast of the upper gastrointestinal tract was noted in the emesis. The patient required emergent intubation and blood transfusions. A CT scan with contrast revealed the presence of a pseudoaneurysm of the right lingual artery. Successful control of bleeding was achieved with coil embolisation of the pseudoaneurysm and its feeding artery. This case highlights that oropharyngeal bleeding can mimic gastrointestinal bleeding.

Original languageEnglish (US)
Article numbere251499
JournalBMJ case reports
Issue number9
StatePublished - Sep 15 2022


  • Adult intensive care
  • GI bleeding
  • Head and neck cancer
  • Interventional radiology

ASJC Scopus subject areas

  • Medicine(all)


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