In 1884, Gallard 1 described three cases of fatal gastric bleeding due to the rupture of a small artery within the stomach wall. He thought that the underlying lesion was a miliary aneurysm. Rare similar observations have been recorded in the ensuing years. Millard,2 in 1955, reported a single case and, on reviewing the literature, collected an additional 16. Two years ago, we observed our first instance of this uncommon entity, and since then we have seen three others. These four cases presenting in so short a period of time prompted us to study them as a group.
Report of Cases
—A 56-year-old white man entered the hospital because of an episode of severe hematemesis of undetermined amount. In the past six months he had mild epigastric pain, not related to meals and relieved by drinking carbonated beverages. Two days before admission he noted tarry stools.Examination