Brief History

 
The patient was an elderly Caucasian man who underwent outpatient arthroscopic surgery of the right knee three weeks prior.

The surgery was uncomplicated.

Within two days post-operatively, the patient was up, active and working.

He reported improved right knee function.
 
On the day of death, he complained of abdominal swelling and pain.

The following day, he was found deceased with red-brown emesis emanating from his mouth and along his right face, right neck and right chest.

The patient self-medicated with non-steroid anti-inflammatory medication of unknown amount after the surgery.

There was minimal alcohol use.

The patient was a smoker.

The history is obtained from the family.