Copyright © 2026 Authors retain the copyright of this article. This article is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

@article{180040,
        author = {DR SONIA DEVIDAS PAWASKAR and DR RAHUL DEVIDAS PAWASKAR},
        title = {A BLOODY MYSTERY: WHEN SUBARACHNOID HEMORRHAGE MASQUESRADES AS A GI BLEED},
        journal = {International Journal of Innovative Research in Technology},
        year = {2025},
        volume = {12},
        number = {1},
        pages = {72-75},
        issn = {2349-6002},
        url = {https://ijirt.org/article?manuscript=180040},
        abstract = {Aneurysmal subarachnoid hemorrhage (aSAH) is a life-threatening condition typically associated with sudden-onset severe headache, neurological deficits, and altered consciousness. However, atypical presentations, including gastrointestinal (GI) bleeding, are less commonly reported but can complicate the clinical course. 
We present a case of a patient with aSAH who initially presented with an upper GI bleed, demonstrating the challenges in diagnosing this condition in the absence of classic neurological symptoms. 
The patient’s presentation included hematemesis, which were initially attributed to a primary gastrointestinal etiology. However, subsequent imaging and neurological assessment revealed the presence of an aneurysmal subarachnoid hemorrhage, highlighting the importance of maintaining a broad differential diagnosis when faced with unusual combinations of symptoms.
 This case underscores the need for careful evaluation of both neurological and gastrointestinal symptoms in patients with unexplained upper GI bleeding, as early recognition and intervention are crucial for improving outcomes. Furthermore, it emphasizes the complex interplay between the central nervous system and gastrointestinal tract, particularly in the setting of vascular events such as aSAH.},
        keywords = {aneursymal, hemorrhage, vomiting, headache, gastroenterologist, coiling},
        month = {June},
        }