Gastric antral vascular ectasia in children, rare presentation Matthew Pizzuto, Sarah Ellul and Mohamed Shoukry Mater Dei Hospital, Msida, Malta Correspondence to Dr Matthew Pizzuto; matthew.a.pizzuto{at}gov.mt Abstract A 14-year-old boy, a known case of perinatal hypoxic cerebral palsy, presented to paediatric emergency with acute melaena and blood staining around feeding gastrostomy site. Physical examination revealed pallor, but no signs of distress with an unremarkable abdominal examination.