Gastrointestinal bleeding

Mapping Intimacies ◽

10.1093/med/9780198759928.003.0034 ◽

2018 ◽

Author(s):

Lucy Howarth ◽

Mark Beattie

Keyword(s):

Differential Diagnosis ◽

Gastrointestinal Bleeding ◽

Lower Gastrointestinal Bleeding ◽

Practical Management ◽

Infancy And Childhood

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.

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Dieulafoy's Lesions of the Rectum: A Rare Cause of Lower Gastrointestinal Bleeding

Canadian Journal of Gastroenterology ◽

10.1155/2001/851354 ◽

2001 ◽

Vol 15 (8) ◽

pp. 541-545 ◽

Cited By ~ 4

Author(s):

Robert Enns

Keyword(s):

Differential Diagnosis ◽

Gastrointestinal Bleeding ◽

Endoscopic Therapy ◽

Present Report ◽

Lower Gastrointestinal Bleeding ◽

Injection Sclerotherapy ◽

Surgical Anastomosis ◽

Dieulafoy’S Lesion ◽

Adrenaline Injection

Dieulafoy's lesions located outside of the stomach are rare occurrences. Lesions found within the colon typically present with painless, massive hematochezia (ie, greater than 5 U). If they can be accurately located, endoscopic therapy in the form of adrenaline injection, sclerotherapy or cauterization appears to have long term success. The present report details the case of a 72-year-old man who presented with massive hematochezia and who was discovered to have a Dieulafoy's lesion within the rectum. The lesion was located just distal to a previous surgical anastomosis, and was successfully treated with adrenaline and electrocautery. Colonic Dieulafoy's lesions are rare but should always be considered in the differential diagnosis of massive hematochezia, because endoscopic therapy appears to result in complete cessation of bleeding.

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Massive Gastrointestinal Bleeding due to Jejunal Diverticula in a Community Hospital: A Case Report and Review of Diagnostic and Therapeutic Options

Gastroenterology Insights ◽

10.3390/gastroent12020017 ◽

2021 ◽

Vol 12 (2) ◽

pp. 196-201

Author(s):

Cynthia Abbasi ◽

M. Carolina Jimenez ◽

Michael Lisi

Keyword(s):

Interventional Radiology ◽

Differential Diagnosis ◽

Case Report ◽

Small Bowel ◽

Gastrointestinal Bleeding ◽

Community Hospital ◽

Lower Gastrointestinal Bleeding ◽

Therapeutic Options ◽

Upper Endoscopy ◽

Massive Gastrointestinal Bleeding

Small bowel diverticula are rare and often asymptomatic. Severe lower gastrointestinal bleeding from jejunal diverticula is rarely reported and, therefore, should be considered a differential diagnosis in all cases of lower gastrointestinal bleeding with nonconclusive gastroscopy and colonoscopy. In this case report, we discuss a case of a 75-year-old male with massive lower gastrointestinal bleeding from jejunal diverticula. Initial gastroscopy did not reveal the source of bleeding. Repeat upper endoscopy with a pediatric colonoscope identified jejunal diverticula as the likely source of bleeding. Angiography identified the site of extravasation, and successful angioembolization was done by interventional radiology.

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