π₯ Ruptured varices after Heller myotomy in patient
A 62-year-old man with alcoholic cirrhosis experienced acute upper gastrointestinal bleeding due to ruptured esophageal varices. This complication occurred despite a negative endoscopic examination conducted just one month prior to his hospital admission. The patient presented with hypotensive and tachycardic symptoms after four episodes of bright red hematemesis over 12 hours. Initial treatment involved transfusions and medications, followed by endoscopic variceal ligation. The authors suggest the Heller myotomy may have been a factor in this uncommon, rapid development. π₯