A 70-year-old male with a history of bilateral surgically treated inguinal hernias, presents with a one-day history of abdominal pain, nausea and vomiting, abdominal distension and obstipation. On examination, the patient was found in good general condition, had a pulse rate of 90 bpm, a blood pressure of 120/60 mmHg....

We report a 16-month-old boy who presented to the emergency department because of externalized blood from his mouth after his meal. Initial examination was unremarkable. His hemoglobin was at 10 g/dL. Hours later, he developed sudden massive upper gastrointestinal bleeding leading to hemorrhagic shock and cardiac arrest. Post-mortem examination revealed an aorto-oesophageal fistula complicating an oesophageal rupture with mediastinitis....

Ectopic adrenocorticotropic hormone (ACTH) secretion is an uncommon but potentially life-threatening paraneoplastic syndrome; most often associated with pulmonary neuroendocrine tumours. Gastrointestinal malignancies represent a rare source and may be diagnostically challenging, particularly in the absence of classical phenotypic features of Cushing’s syndrome....