A patient undergoing treatment for mouth cancer survived multiple episodes of life-threatening gastrointestinal bleeding, requiring emergency surgery and approximately 25 to 27 units of blood transfusions during a 20 to 25-day hospital stay at a private hospital in Mumbai. The patient initially presented after collapsing at home and sustaining a head injury. He was semi-conscious, profoundly hypotensive, and had a hemoglobin level of 3 g/dL, indicating critical blood loss. Immediate resuscitation with intravenous fluids, blood transfusions, and supportive care was initiated, followed by intensive care unit admission.

Initial endoscopy and colonoscopy did not identify the bleeding source. Once stabilized, the patient underwent surgery for mouth cancer with free flap reconstruction. However, his postoperative course was complicated by recurrent gastrointestinal hemorrhage. Endoscopic…