scholarly journals Acute gastrointestinal bleeding from appendiceal diverticulitis diagnosed preoperatively by combined short‐interval computed tomography and colonoscopy: A case report

2018 ◽  
Vol 30 (3) ◽  
pp. 392-394 ◽  
Author(s):  
Yutaro Ogawa ◽  
Naoki Asayama ◽  
Shinji Nagata
Author(s):  
Tristan Thomas ◽  
Michael Haney ◽  
Matthew Doepker

Hemangiomas of the small bowel are exceedingly rare benign tumors. When diagnosed they are found in the setting of an acute gastrointestinal bleeding, but can also be involved in intussusception, obstruction, and cause pain. There are few reports of this case over all, and incidental or asymptomatic cases are rare for adult patients. Although computed tomography with angiography or tagged red blood cell scans are pivotal for acute active bleeding, endoscopy has become pivotal in diagnosis of lesions that are quiescent. Management is also variable as endoscopy, laparoscopy, and open surgery have all been utilized with success.


2011 ◽  
Vol 80 (2) ◽  
pp. 229-235 ◽  
Author(s):  
Wei-Chou Chang ◽  
Shih-Hung Tsai ◽  
Wei-Kuo Chang ◽  
Chang-Hsien Liu ◽  
Ho-Jui Tung ◽  
...  

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 594
Author(s):  
Hanen Elloumi ◽  
Melek Ben Mrad ◽  
Imen Ganzoui ◽  
Sonia Ben Hamida ◽  
Wissem Triki ◽  
...  

Secondary aorto-enteric fistula (SAEF) is a rare life-threatening complication occurring in patients with previous infrarenal aortic prosthetic reconstruction. The main symptom is a gastrointestinal bleeding. Its diagnosis is challenging due to the lack of a specific clinical signs. The failure of early diagnosis and treatment of this entity can lead to fatal issue. Actually, the abdominal computed tomography angiogram represents the principal exploration to confirm the diagnosis, but it is associated with a moderate specificity and sensibility. Duodenoscopy can highlight the communication between the duodenum and the prosthetic graft, but it is often inconclusive. We report in this manuscript a case of secondary aorto-enteric fistula revealed by occult gastrointestinal bleeding in an elderly patient who is admitted for severe anemia. The SAEF diagnosis was suspected by the computed tomography scan and confirmed by the duodenoscopy showing an exceptional image of Dacron graft protruding in the third duodenum lumen. Unfortunately, the patient died from cataclysmic shock before intervention. We overview also the rare previous published case reports concerning the endoscopic images of secondary aortoenteric fistula and we contrast our findings with those reported in the literature.


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