A Case of Red Retching?

Sabrina A Karim; Tao Tao Holmes; Allison J Wu; Daniel Kamin

doi:10.1097/PG9.0000000000000230

A Case of Red Retching?

JPGN Rep. 2022 Jul 25;3(3):e230. doi: 10.1097/PG9.0000000000000230. eCollection 2022 Aug.

Authors

Sabrina A Karim^{1

2

3

4}, Tao Tao Holmes⁵, Allison J Wu⁵, Daniel Kamin⁵

Affiliations

¹ Department of Pediatrics, Boston Children's Hospital, Boston, MA.
² Department of Pediatrics, Harvard Medical School, Boston, MA.
³ Department of Pediatrics, Boston Medical Center, Boston, MA.
⁴ Department of Pediatrics, Boston University, Boston, MA.
⁵ Division of Pediatric Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, Boston, MA.

Abstract

This piece features a 14-year-old young man who presented with epigastric pain and bright red emesis. His father brought both a photo and sample of the vomitus, which guided initial management in one direction, and then on closer inspection, diverted his diagnostic trajectory. Through a traditional case report and accompanied image and prose, we explore how we process and reinterpret visual data to help guide our management of hematemesis.

Keywords: adolescent; diagnostic; emergency; emesis.

Copyright © 2022 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition.