Michael L. Levy

Question: A 35-year-old woman (gravida 4, para 3) was admitted at 19 weeks’ gestation with a 2-week history of constant epigastric pain associated with nausea, vomiting, and an isolated episode of melena. She denied use of nonsteroidal anti…

Purpose: Gastrointestinal endometriosis is uncommon, but when present usually involves the rectosigmoid and manifests as lower gastrointestinal bleeding, pelvic pain or constipation. Endometriosis involving the upper GI tract is very rare, …