LAUSR

CLINICAL PRESENTATION A 43yearold man with alcohol use disorder presented to the hospital with acute abdominal pain and recurrent episodes of haematemesis and melena for the last 2 weeks. He reported progressive dyspnoea and fatigue over several days, but denied fever or weight loss. Laboratory findings revealed severe normochromic normocytic anaemia with a haemoglobin concentration of 2.5 g/dL as well as slight leucocytosis and a mildly elevated international normalised ratio of 1.38. Liver and kidney parameters were normal. Urgent upper endoscopy demonstrated a network of gastric varices with a focal ulceration (figure 1) that