Life-threatening lower gastrointestinal bleeding in a 2-year-old boy treated by transcatheter embolization: uncommon features of a complicated Meckel diverticulum

2010 ◽  
Vol 40 (10) ◽  
pp. 1702-1705 ◽  
Author(s):  
Charlotte Bevernage ◽  
Geert Maleux ◽  
Gert De Hertogh ◽  
Marc Miserez
Keyword(s):  
Gastrointestinal Bleeding ◽  
Transcatheter Embolization ◽  
Lower Gastrointestinal Bleeding ◽  
Meckel Diverticulum ◽  
Life Threatening

scholarly journals A Case Report on Life-Threatening Lower Gastrointestinal Bleeding: A Rare Presentation of Mucinous Adenocarcinoma of the Appendix

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
H. W. T. D. Wijayaratne ◽  
K. J. A. Fernando ◽  
T. Matheeshan
Keyword(s):  
Gastrointestinal Bleeding ◽  
Rectal Bleeding ◽  
Mucinous Adenocarcinoma ◽  
Right Hemicolectomy ◽  
Lower Gastrointestinal Bleeding ◽  
Haemodynamic Instability ◽  
Endoscopic Evaluation ◽  
Ct Angiogram ◽  
Contrast Enhanced Ct ◽  
Life Threatening

Introduction. A life-threatening lower gastrointestinal bleeding from mucinous adenocarcinoma of the appendix is a rare occurrence. Diagnosing and management of such a condition are challenging. Case Presentation. A 73-year-old male with a history of type 2 diabetes mellitus and hypertension presented with intermittent per rectal bleeding for two weeks, which progressed to the passage of a large number of blood clots and fresh blood. He had features of class III shock on admission. An endoscopic evaluation followed initial resuscitation to locate the source of bleeding. Colonoscopy revealed a large blood clot at the opening of the appendicular orifice with no active bleeding. Oesophagoduodenoscopy, contrast-enhanced CT abdomen, and CT angiogram findings were unremarkable. Due to repeated episodes of rebleeding leading to haemodynamic instability, an exploratory laparotomy was performed. A retrocaecal appendix was noticed with a macroscopically suspicious-looking dilated tip adhered to the posterior caecal wall. Right hemicolectomy was performed as the lesion was suspicious and to stop bleeding from the site. Ileocolic side-to-side hand-sewn anastomosis was performed using 3/0 polyglactin. Postoperatively, per rectal bleeding was settled. Microscopy revealed appendiceal mucinous adenocarcinoma with AJCC staging of pT3NoMx. The patient was discharged on postoperative day seven and referred to oncological management. He was offered six cycles of chemotherapy with capecitabine and oxaliplatin. At the six-month follow-up visit, the patient had no features of recurrence clinically. Conclusion. Mucinous adenocarcinoma of the appendix can rarely present as life-threatening lower GI bleeding. Prompt resuscitation, endoscopic evaluation, and operative management with right hemicolectomy and chemotherapy provided a good outcome.

scholarly journals Rectal Dieulafoy Lesions: A Rare Etiology of Chronic Lower Gastrointestinal Bleeding

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Ugur Dogan ◽  
Ismail Gomceli ◽  
Umit Koc ◽  
Mani Habibi ◽  
Nurullah Bulbuller
Keyword(s):  
Gastrointestinal Bleeding ◽  
Rectal Bleeding ◽  
Lower Gastrointestinal Bleeding ◽  
Endoscopic Appearance ◽  
Mucosal Defect ◽  
Arterial Bleeding ◽  
Life Threatening ◽  
Massive Rectal Bleeding ◽  
Dieulafoy Lesion

Dieulafoy lesion is rarely seen, yet it can be life-threatening. This lesion makes up to 1-2% of gastrointestinal bleedings and must definitely be considered in gastrointestinal bleedings whose source cannot be identified. In this case study, the 75-year-old woman was suffering from active, fresh, and massive rectal bleeding. Colonoscopy was applied in order to find out the source of bleeding. In the typical endoscopic appearance of the lesion a single round mucosal defect in the rectum and arterial bleeding were observed. To procure hemostasis, epinephrine was injected into the lesion and the bleeding vein was sutured.

scholarly journals Atypical Presentation of Colonic Diverticular Disease

2021 ◽  
Vol 33 (1) ◽  
pp. 94-98
Author(s):  
Refaya Tasnim ◽  
Nawsabah Noor ◽  
Quazi Tarikul Islam
Keyword(s):  
Gastrointestinal Bleeding ◽  
Diverticular Disease ◽  
Lower Gastrointestinal Bleeding ◽  
Common Finding ◽  
Fresh Blood ◽  
Colonic Diverticulosis ◽  
Infectious Colitis ◽  
Colonic Neoplasia ◽  
Life Threatening ◽  
Colonic Diverticular Disease

Hematochezia or passage of fresh blood per rectum is a relatively common finding in medical practice which mostly indicates lower gastrointestinal bleeding. The causes for lower gastrointestinal bleeding include diverticular disease, vascular ectasia, ischemic, inflammatory or infectious colitis, colonic neoplasia, hemorrhoids, anal fissures and small bowel lesions (Crohn’s disease, Vascularectasia, Meckel’s diverticulum).If a patient comes with severe hematochezia, the first and foremost task is to stabilize the patient and then find out the source of bleeding as soon as possible. Elderly patients presenting with severe hematochezia, is most likely due to colorectal malignancy but benign causes like colonic diverticulosis can also present as life threatening bleeding in rare occasions. Here we report a case of 70-years-old male patient presenting with severe painless hematochezia leading to severe anemia due to diverticulosis. Bangladesh J Medicine July 2022; 33(1) : 94-98

Life-threatening lower gastrointestinal bleeding in a teenager

Gut ◽  
2010 ◽  
Vol 59 (11) ◽  
pp. 1475-1475
Author(s):  
C.-C. Chang ◽  
M.-Y. Wang ◽  
M.-T. Lin ◽  
H.-P. Wang ◽  
K.-L. Liu
Keyword(s):  
Gastrointestinal Bleeding ◽  
Lower Gastrointestinal Bleeding ◽  
Life Threatening

scholarly journals Rectal Dieulafoy’s Lesion: A Rare Etiology of Lower Gastrointestinal Hemorrhage

2019 ◽  
Vol 13 (1) ◽  
pp. 73-77 ◽  
Author(s):  
Eric Omar Then ◽  
Rani Bijjam ◽  
Andrew Ofosu ◽  
Prashanth Rawla ◽  
Andrea Culliford ◽  
...  
Keyword(s):  
Gastrointestinal Tract ◽  
Gastrointestinal Bleeding ◽  
Gastrointestinal Hemorrhage ◽  
Lower Gastrointestinal Bleeding ◽  
Rare Presentation ◽  
Lower Gastrointestinal Hemorrhage ◽  
Dieulafoy’S Lesion ◽  
Life Threatening ◽  
Submucosal Vessel ◽  
Upper Gastrointestinal

A Dieulafoy’s lesion is defined as a dilated submucosal vessel that erodes the overlying epithelium without evidence of a primary ulcer or erosion. It is a rare cause of gastrointestinal bleeding that is difficult to identify and subsequently manage. Most commonly, they occur in the upper gastrointestinal tract, namely the stomach. A Dieulafoy’s lesion of the rectum, however, is an exceedingly rare presentation that can lead to life-threatening gastrointestinal bleeding. Our case consists of an 84-year-old man, who presented with lower gastrointestinal bleeding secondary to a Dieulafoy’s lesion of the rectum.

scholarly journals Rectal Dieulafoy’s Lesion: An Underrecognized Cause of Lower Gastrointestinal Bleeding

2017 ◽  
Vol 08 (04) ◽  
pp. 202-204
Author(s):  
Vipul D. Yagnik
Keyword(s):  
Blood Loss ◽  
Gastrointestinal Bleeding ◽  
Alimentary Tract ◽  
Clinical Presentation ◽  
Lower Gastrointestinal Bleeding ◽  
Hospitalized Patients ◽  
Gi Bleeding ◽  
Dieulafoy’S Lesion ◽  
Threatening Condition ◽  
Life Threatening

ABSTRACTDieulafoy’s lesion is a rare but potentially a life-threatening condition. It accounts for 1%–2% of acute gastrointestinal (GI) bleeding. The lesion is most frequently located in the stomach and may be located anywhere in the alimentary tract. It can be present as severe GI bleeding or chronic GI blood loss. The cause of lesion remains uncertain. The range of clinical presentation varies from acute ill hospitalized patients as well as in the newborn.

Transcatheter Embolization for Treatment of Acute Lower Gastrointestinal Bleeding

1987 ◽  
Vol 28 (4) ◽  
pp. 425-430 ◽  
Author(s):  
R. Uflacker
Keyword(s):  
Gastrointestinal Bleeding ◽  
Transcatheter Embolization ◽  
Lower Gastrointestinal Bleeding ◽  
Mesenteric Arteries ◽  
Middle Colic Artery ◽  
Colic Artery ◽  
Selective Embolization ◽  
Diverticular Hemorrhage ◽  
Carcinoma Of The Bladder ◽  
The Right

Treatment of lower gastrointestinal bleeding was attempted in 13 patients by selective embolization of branches of the mesenteric arteries with Gelfoam. Bleeding was adequately controlled in 11 patients with active bleeding during the examination. One patient improved after embolization but bleeding recurred within 24 hours and in another patient the catheterization was unsuccessful. Five patients with diverticular hemorrhage were embolized in the right colic artery four times, and once in the middle colic artery. Three patients had embolization of the ileocolic artery because of hemorrhage from cecal angiodysplasia, post appendectomy, and leukemia infiltration. Three patients had the superior hemorrhoidal artery embolized because of bleeding from unspecific proctitis, infiltration of the rectum from a carcinoma of the bladder, and transendoscopic polypectomy. One patient was septic and bled from jejunal ulcers. Ischemic changes with infarction of the large bowel developed in two patients and were treated by partial semi-elective colectomy, three and four days after embolization. Four other patients developed pain and fever after embolization. Transcatheter embolization of branches of mesenteric arteries is an effective way to control acute lower gastrointestinal bleeding, but still has a significant rate of complications that must be seriously weighed against the advantages of operation.

Transcatheter Embolization for Lower Gastrointestinal Bleeding

Radiology ◽  
1978 ◽  
Vol 127 (2) ◽  
pp. 345-349 ◽  
Author(s):  
Joseph J. Bookstein ◽  
Mohammad J. Naderi ◽  
Joseph F. Walter
Keyword(s):  
Gastrointestinal Bleeding ◽  
Transcatheter Embolization ◽  
Lower Gastrointestinal Bleeding
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