1387: ENCEPHALOPATHY AND LIFE-THREATENING GASTROINTESTINAL HEMORRHAGE IN A CHILD WITH MIS-C

Gastrointestinal hemorrhage due to splenic artery aneurysm pancreatic duct fistula in chronic pancreatitis is rare. It is, however, important to diagnose this condition particularly in patients having chronic pancreatitis, since it may result in a life-threatening situation. The diagnosis is usually difficult to establish and it may take repeated admissions for intermittent gastrointestinal bleeding until the real source is recognized. Clinical attacks of epigastric pain followed by GI-bleeding 30–40 minutes later are characteristic. Occasionally these attacks are followed by transient jaundice. The present case report describes this rare complication and reviews the current literature.

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An Unusual Cause of Life-Threatening Gastrointestinal Hemorrhage After Pancreatoduodenectomy

The American Journal of Gastroenterology ◽

10.14309/00000434-201710001-01850 ◽

2017 ◽

Vol 112 ◽

pp. S1015-S1016

Author(s):

Christopher M. Linz ◽

Andrew J. Kruger ◽

Somashekar G. Krishna

Keyword(s):

Gastrointestinal Hemorrhage ◽

Life Threatening

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Bernard-Soulier Syndrome Presenting as a Life-Threatening Gastrointestinal Hemorrhage

Annals of Saudi Medicine ◽

10.5144/0256-4947.1993.467 ◽

1993 ◽

Vol 13 (5) ◽

pp. 467-468

Author(s):

Tarig I. Mughal

Keyword(s):

Gastrointestinal Hemorrhage ◽

Life Threatening ◽

Bernard Soulier Syndrome

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Massive Life-threatening Lower Gastrointestinal Hemorrhage Caused by an Internal Hemorrhoid in a Patient Receiving Antiplatelet Therapy: A Case Report

Korean Journal of Gastroenterology ◽

10.4166/kjg.2012.60.4.253 ◽

2012 ◽

Vol 60 (4) ◽

pp. 253 ◽

Cited By ~ 4

Author(s):

Miyeon Kim ◽

Hyun Joo Song ◽

Sunghyun Kim ◽

Yoo-Kyung Cho ◽

Heung Up Kim ◽

...

Keyword(s):

Case Report ◽

Antiplatelet Therapy ◽

Gastrointestinal Hemorrhage ◽

Internal Hemorrhoid ◽

Lower Gastrointestinal Hemorrhage ◽

Life Threatening

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Delayed, life-threatening lower gastrointestinal hemorrhage in an infant after serial transverse enteroplasty: treatment with transcatheter n-butyl-2-cyanoacrylate embolization

Pediatric Radiology ◽

10.1007/s00247-009-1328-0 ◽

2009 ◽

Vol 39 (10) ◽

pp. 1098-1101 ◽

Cited By ~ 6

Author(s):

Conor O. Bogue ◽

Amin I. Alzahrani ◽

Paul W. Wales ◽

Philip R. John ◽

Joao G. Amaral

Keyword(s):

Gastrointestinal Hemorrhage ◽

Lower Gastrointestinal Hemorrhage ◽

Life Threatening ◽

Serial Transverse Enteroplasty

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Colonic Dieulafoy’s Lesion: A Rare Cause of Lower Gastrointestinal Hemorrhage and Review of Endoscopic Management

Case Reports in Gastrointestinal Medicine ◽

10.1155/2014/436293 ◽

2014 ◽

Vol 2014 ◽

pp. 1-4 ◽

Cited By ~ 2

Author(s):

Christopher Ma ◽

Rajveer Hundal ◽

Edwin J. Cheng

Keyword(s):

Gastrointestinal Bleeding ◽

Gastrointestinal Hemorrhage ◽

Endoscopic Management ◽

Rare Entity ◽

Fresh Blood ◽

Nonvalvular Atrial Fibrillation ◽

Lower Gastrointestinal Hemorrhage ◽

Dieulafoy’S Lesion ◽

Upper Gi ◽

Life Threatening

Dieulafoy’s lesions are a rare cause of gastrointestinal hemorrhage. Extragastric Dieulafoy’s lesions are even more uncommon. We report the case of a 75-year-old woman who presented with gastrointestinal bleeding from a transverse colonic Dieulafoy’s lesion. She presented with two episodes of melena followed by one episode of fresh blood per rectum. In addition, there was associated presyncope and anemia (hemoglobin 69 g/L) in the setting of supratherapeutic warfarin anticoagulation (INR 6.2) for nonvalvular atrial fibrillation. Esophagogastroduodenoscopy was negative for an upper GI source of bleeding but on colonoscopy an actively oozing Dieulafoy’s lesion was identified in the transverse colon. Bipolar cautery and hemostatic endoclips were applied to achieve hemostasis. Clinicians should consider this rare entity as a potential cause of potentially life-threatening lower gastrointestinal bleeding and we review the endoscopic modalities effective for managing colonic Dieulafoy’s lesions.

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