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We report on the case of a 22-month-old child who was admitted to the hospital after suffering hematemesis (resembling coffee grounds), melenas, and fever over the course of 24 hours. There was nothing of interest in the personal history, the family denied having used NSAIDs, and various second degree family members have gastroduodenal ulcers. Upon admission, the patient was in good condition, well hydrated and well perfused. Blood pressure: 88/57 mmHg. Temp: 39 °C. Cardiopulmonary auscultation was normal; the abdomen was soft and compressible, painless to the touch and without signs of visceromegaly. Upon admission, the hemogram showed leukocytosis, neutrophilia, normal hemoglobin and a hematocrit that fell 20% when tested at the 12-hour control, however both figures were within the normal range. An otorhinolaryngological examination discounted bleeding in that area. In the digestive endoscopy it was noted that the esophagus was hyperemic with some distal erosive lesions and erosions in the greater curvature of the stomach, without active bleeding. A diverticulum was found in the antrum, close to the pylorus (Fig. 1A). In the endoscopic biopsy, there were chronic inflammatory changes and fibrosis in lamina propria with focal neutrophilic activity. A barium swallow study was performed (Fig. 1B) which confirmed the presence of a 1 cm diverticulum in the medial

Upper digestive tract hemorrhage in a child with heterotopic pancreas in a gastric diverticulum