Gastrointestinal Bleeding: Presentation, Differential Diagnosis and Epidemiology

2012 ◽  
pp. 1-14
Author(s):  
Joseph Sung
2020 ◽  
Vol 3 (1) ◽  
pp. 64-66
Author(s):  
Prakash Poudel ◽  
Ramesh Dhakwa

Dieulafoy lesion is a rare cause of massive GI bleeding. It’s an abnormal sub-mucosal artery protruding from a minute mucosal defect (≤3 mm). A 31 yearold male presented with complaints of hematochezia. Preliminary investigations failed to locate the exact source of bleed. Enteroscopy suggested distal ileal bleed. At laparotomy, an ulcerated nodular lesion, approximately 0.5 cm was identified in distal ileum. 30 cm of ileum along with mesentery was resected. Histology revealed it to be Dieulafoy lesion. Dieulafoy lesion is uncommon but one of the causes of obscure gastrointestinal bleeding that could result in treacherous and life-threatening gastrointestinal haemorrhage. This lesion is difficult to identify and high index of suspicion is required to make diagnosis. Hence, it should be considered in the differential diagnosis of active GI bleeding. The definitive diagnosis is based only on histopathology.


2016 ◽  
Vol 14 (4) ◽  
pp. 557-560 ◽  
Author(s):  
Jacques Matone ◽  
◽  
Samuel Okazaki ◽  
Gabriel Naman Maccapani ◽  
Thiago Trolez Amancio ◽  
...  

ABSTRACT Liposarcoma is one of the most common soft tissue sarcomas in adults, occurring in 15 to 20% of all patients with sarcoma. Primary liposarcoma of the stomach is rare. We report a case of patient with giant gastric liposarcoma who underwent surgery after a gastrointestinal bleeding. Preoperative hystopathological diagnosis was not established, even after three biopsy attempts. We discuss differential diagnosis, genetic causes, diagnosis strategies and treatment.


Author(s):  
Lucy Howarth ◽  
Mark Beattie

This chapter covers the assessment and management of gastrointestinal bleeding in infancy and childhood. There are separate sections on upper and lower gastrointestinal bleeding. The chapter includes detail on the investigation, differential diagnosis, and practical management.


2011 ◽  
Vol 93 (4) ◽  
pp. e3-e5 ◽  
Author(s):  
Jaime Ruiz-Tovar ◽  
Jair Santos ◽  
Alberto Lopez-Delgado ◽  
Albina Orduña ◽  
Rafael Calpena

Peritoneal adenomatoid tumours are rare benign neoplasms originating from mesothelial cells. We present a case of peritoneal adenomatoid tumour penetrating into the bowel wall and causing massive intra- and extraluminal bleeding.


2011 ◽  
Vol 63 (3) ◽  
pp. 213-217 ◽  
Author(s):  
Marco Filauro ◽  
Gian Andrea Rollandi ◽  
Giovanni Cassola ◽  
Paolo Quilici ◽  
Giulio Angelini ◽  
...  

2016 ◽  
Vol 47 (1) ◽  
pp. 48-51
Author(s):  
Vishal Sharma ◽  
Deepak Gunjan ◽  
Puneet Chhabra ◽  
Ravi Sharma ◽  
Surinder Singh Rana ◽  
...  

Hookworms are recognised as a cause of iron-deficiency anaemia in endemic areas. They are, however, often not considered in the differential diagnosis of overt gastrointestinal bleeding. We report the endoscopic diagnosis of hookworms as the cause of gastrointestinal bleeding in three patients, two of whom had frank haemorrhage with one presenting in hypovolemic shock. Hookworm infestation is an important treatable cause of gastrointestinal bleeding in tropical countries.


Author(s):  
R. Mark Beattie ◽  
Anil Dhawan ◽  
John W.L. Puntis

Definitions 210Initial assessment 210Examination 212Investigation 212Differential diagnosis 216Treatment 217Overt gastrointestinal bleeding may occur as part of an acute illness or as a feature of chronic disease. Covert or obscure gastrointestinal bleeding may be uncovered in the investigation of anaemia....


2019 ◽  
Vol 12 (8) ◽  
pp. e230443
Author(s):  
Niccolò Rotigliano ◽  
Matthias Sauter ◽  
Markus von Flüe ◽  
Daniel Christian Steinemann

Idiopathic localised dilatation of the intestine (ILDI) presenting in adults is rare and difficult to diagnose. Only 18 cases have been reported in the literature. We report a case of a 32-year-old woman presenting with abdominal pain and intermittent small bowel obstruction. After detailed radiological studies, the patient, known for Crohn’s disease, was scheduled for laparoscopy in the suspicion of small bowel stricture. A localised dilatation of the ileum was found intraoperatively and subsequently resected. A systematic review of this rare pathology in adults is carried out. ILDI should be part of the differential diagnosis in patients with unexplained abdominal pain or gastrointestinal bleeding in the presence of segmental dilatation of the intestine. Surgical resection is the treatment of choice.


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