Novel Application of Balloon Tamponade in Management of Acute Lower Gastrointestinal Hemorrhage

We present a case of acute lower gastrointestinal (GI) bleeding in the emergency department, in which specialists were not emergently available to render their support. A quick intervention using balloon tamponade technique with a Minnesota tube helped stabilize the patient until intensive care, gastroenterology, and surgical specialists could intervene. We also review previous cases from the literature in which a balloon tamponade method was used to control GI hemorrhage. Our novel application of the Minnesota tube is important for emergency physicians to consider for cases of acute lower GI bleeding, particularly in emergent presentations when specialists are not readily available in-hospital.

Acute Lower Gastrointestinal Hemorrhage

Acute lower gastrointestinal (GI) hemorrhage is a potentially life-threatening event, which requires efficient work-up and effective management. Interventional radiology has an indispensable role in treatment of this serious condition. We review the major causes of acute lower GI bleeding in adults, available diagnostic modalities, and endovascular interventions.