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Although upper gastrointestinal (GI) bleeding has an overall annual incidence of 100 per 100000 in the general population, bleeding secondary to Dieulafoy's lesion is rare and likely underdiagnosed. This vascular malformation can present with massive and catastrophic hemorrhage that can be fatal if not managed aggressively. We present the case of an unusual presentation of upper GI bleeding secondary to Dieulafoy's lesion.

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