A 62 years old male patient presented by an acute attack of upper gastrointestinal bleeding. The patient gave no history of any chronic medical disease. He then was admitted to the emergency unit of Al-Reyah Hospital (a charity hospital, Biala, Kafr El-Sheikh, Egypt) and after resuscitation measures an emergency upper GIT endoscopy was done, the source of bleeding was identified as a lower esophageal linear crack while a large gastric smooth mass not yielding on pressure was seen and it seems to be most probably a gastric leiomyoma.