scholarly journals Delayed Bleeding at Different Anastomotic Sites After Operation for Synchronous Colon and Rectal Carcinoma: A Rare Case Report

Author(s):  
Chun-Run Ling ◽  
Wen-Hua Zhang ◽  
Zhi-Yong Liu ◽  
Chen Cheng Dong

Abstract Background: Delayed postoperative anastomotic bleeding is a life-threatening complication of gastrointestinal reconstruction surgery, but rarely been reported in the literature. Case presentation: A 64-year-old man was admitted to our hospital with bleeding stool for 10 days, he had a long history of uncontrolled type 2 diabetes mellitus. He was then diagnosed with synchronous adenocarcinoma of the ascending colon and the rectum. Laparoscopic right hemicolectomy combined with low anterior resection of rectal cancer was conducted later. Delayed bleeding occured at ileocolonic anastomotic orifice and colorectal anastomotic orifice at different periods, by multi-means of hemostasis therapy, he fianlly gained a good recovery.Conclusion: Enhanced postoperative monitoring, early detection of bleeding and combined with multiple hemostasis methods are the keys to successful management of delayed postoperative anastomotic bleeding in colorectal cancer. Type 2 diabetes mellitus may be one of the risk factors of delayed postoperative anastomotic bleeding, and preventive ostomy may be beneficial to avoid the occurrence of delayed postoperative anastomotic bleeding, both of which needs to be confirmed by further studies.

2019 ◽  
Vol 7 ◽  
pp. 2050313X1983482
Author(s):  
Marcos Frata Rihl ◽  
Felipe Marchiori Bau ◽  
Igor de Oliveira ◽  
Manoela Astolfi Vivan ◽  
Roseane Cardoso Marchiori

Malignant otitis externa is an invasive infection of the external auditory canal and temporal bone with potentially life-threatening complications. Elderly patients with type 2 diabetes mellitus are the population most commonly affected by malignant otitis externa, but any type of immunosuppression predisposes to the disease. Prader–Willi syndrome is a genetic cause of obesity, often associated with insulin resistance and type 2 diabetes mellitus. This report describes a case of a 21-year-old male patient with Prader–Willi syndrome who had malignant otitis externa that progressed to sepsis during hospitalization. To the best of the authors’ knowledge, this is the first description of malignant otitis externa in a young patient with Prader–Willi syndrome.


2017 ◽  
Vol 3 (2) ◽  
pp. 152-157 ◽  
Author(s):  
Shabbir Ahmed ◽  
Tasnim Ahmed ◽  
Tarana Sharmin ◽  
Sharif Mohammad Ruhul Quddus

Type 2 diabetes mellitus is one of the deadliest disease in Bangladesh as its complications are enormous and life threatening. This study demonstrates the prevalence of the complications of type 2 diabetes among the population of Bangladesh. Data of 1000 subjects admitted into BIRDEM General Hospital from May 2015 to April 2016 were taken into consideration. Significantly, it was found that 89% patients had fasting blood glucose (FBG) level greater than 7 mmol/l and 70.8% patients had glycosylated hemoglobin (HbA1c) level greater than 8%. As a consequence, the total population were affected by diverse health complications including lung, liver, cardiovascular, kidney, brain, oral, eye, thyroid, hearing, skin, and so on. Males and females were suffered from these complications without biasedness.Asian J. Med. Biol. Res. June 2017, 3(2): 152-157


2020 ◽  
Vol 35 (2) ◽  
pp. 130-138
Author(s):  
Fatma KH. Ali Ehmaida ◽  
Sokaina Saad Hemdan ◽  
Asmaa M. Aljebaly

This study was carried out to provide new data on patients with type 2 diabetes mellitus and any suggestions for the prevention of what is a life-threatening disorder. Four hundred and seventy-three type 2 diabetic mellitus patients from Almarj general hospital were used: (222) females and (251) males for the period from October -2017 to April – 2018.The study focused on the relationship between genders and complications of diabetes mellitus. The study showed no significant differences (P > 0.05) between hypertension, heart disease, respiratory dysfunction, nephropathy, urinary tract infection, anemia, hypothyroidism, diabetic ketoacidosis, gastric infection, and gender. On the other hand, a significant (P ≤ 0.05) relationship was found between hepatopathy and foot complications and gender. Findings showed that males with the risk of the dangers of type 2 diabetes mellitus complications were more than females in Almarj city.  


2014 ◽  
Vol 2 (1) ◽  
pp. 46-47
Author(s):  
Mukut Roy ◽  
Pranab Kumar Sahana ◽  
Chanchal Das ◽  
Nilanjan Sengupta ◽  
Prashant Somani ◽  
...  

In this part of world, the mode of presentation of type 2 diabetes is enormously varied and infections may be the first presenting feature of previously unknown diabetes. In this case, we report an initial way of presentation of type 2 diabetes mellitus as emphysematous pyelonephritis. He was treated successfully by antibiotics and percutaneous drainage. Emphysematous pyelonephritis is a rare life-threatening gas-producing, necrotizing infection of the renal parenchyma and surrounding areas which can be focal or diffuse and may spread to the collecting system or perinephric tissues. It is rapidly progressive and fatal if untreated. Prompt recognition and aggressive treatment helps in complete recovery of patients. DOI: http://dx.doi.org/10.3329/bccj.v2i1.19971 Bangladesh Crit Care J March 2014; 2 (1): 46-47


2017 ◽  
Vol 11 (1) ◽  
pp. 61
Author(s):  
Bacem A.E.O. Khalele

This paper reports a very rare case of isolated ulcerative lesion of the palate in a patient with type-2 diabetes mellitus. The patient refused to run any radiological tests, other than the periapical radiograph. This rendered the diagnostic dilemma more challenging. Through histochemical and immunohistochemical stains, the case could be non-invasively diagnosed as caliberpersistent artery. All differential diagnoses were excluded based on concrete findings.


2019 ◽  
Vol 12 (8) ◽  
pp. e231562
Author(s):  
Neel Gautam Jain ◽  
Anya Hargreaves

A 39-year-old man with a background of type 2 diabetes mellitus presented with extreme hypertriglyceridaemia (114.4 mmol/L) and acute pancreatitis, attributed to excessive dairy intake. At his peak, he was drinking up to 6 pints of full fat milk a day. He was treated with an insulin regimen and was counselled on the danger his diet posed to his health. He recovered well, but this case highlights the impact that dietary and lifestyle factors can have on health, sometimes with life-threatening results.


2017 ◽  
Vol 08 (04) ◽  
pp. 193-195
Author(s):  
Ankur Gupta ◽  
Priyanka Jain

ABSTRACTCytomegalovirus (CMV) colitis usually affects immunocompromised hosts. We report a patient with type 2 diabetes mellitus who presented with massive lower gastrointestinal bleed due to CMV colitis, which proved to be fatal. Awareness about this life-threatening entity is important in patients who have impaired immune response.


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