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A 35-Year-Old Man Presented to the Emergency Department Due to Bloody

Question 143

Multiple Choice

A 35-year-old man presented to the emergency department due to bloody vomiting. The patient has been drinking alcohol for the last 3 hours, after a heavy meal in the company. He vomited 3 times, in the last time a very large amount of red vomit was seen. Blood pressure is 140/88 mm Hg and pulse is 99/min. Physical examination is unremarkable. An urgent upper endoscopy shows a linear bleeding laceration in the esophagus. The bleeding did not respond to initial endoscopic treatment. Embolization of distal branch of which of the following arteries would control the bleeding?


A) Internal thoracic artery
B) Left gastric artery
C) Splenic artery
D) Superior mesenteric artery
E) Thoracic aorta

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