Emesis With Bloody Streak In An Elderly Male

80 year old male presented with severe abdominal pain several hours s/p Schatzki ring dilation. One episode of emesis with a bloody streak Physical Exam Generally well appearing but in moderate distress, awake, A+O X 3, HEENT normal, Lungs CTAB, Heart tachycardic with normal s1s2 and no MRG. Pulses 2+ and equal. Abd soft, diffusely tender to palpation, esp over LUQ which was tender to percussion with rebound.

Normoactive Bowel Sounds. What is the diagnosis from CT, Gastrograffin contrast, and plain radiograph? Source: MedPix, NIH, USA *This case is from Docplexus Editorial Team for educative purpose only.