Mysterious rectal bleeding in a female adolescent

Mysterious Rectal Bleeding in a Female Adolescent

A 15-year-old female referred to our adolescent clinic for further evaluation of rectal bleeding was seen a week earlier in the acute care: clinic with a two-day history of bright red rectal bleeding. The physical examination at that time was reportedly normal, including the rectal exam. The blood count with differential, liver function tests, ESR, and barium enema were all within normal lim1ts...

Rectal Duplication Cyst in a 12 year old Female Presenting with Chronic Constipation and Rectal Bleeding: A Case Report

Constipation is a common presenting complaint in children. Rectal duplication cysts are rare congenital malformations that need to be considered in patients with chronic constipation that has not responded to typical therapy and in patients presenting with rectal bleeding. It is important to maintain a high index of suspicion when diagnosing this condition as other congenital malformations may ...

Hemosuccus Pancreaticus: A Mysterious Cause of Gastrointestinal Bleeding

Hemosuccus pancreaticus (bleeding from the pancreatic duct into the gastrointestinal tract via the ampulla of Vater) is a rare, potentially life-threatening and obscure cause of upper gastrointestinal bleeding. It is caused by rupture of the psuedoaneurysm of a peripancreatic vessel into pancreatic duct or pancreatic psuedocyst in the context of pancreatitis or pancreatic tumors. It can pose a ...

Diverticulitis and Rectal Bleeding

FRAENKEL (1954) has recently drawn attention to the massive bleeding which sometimes occurs as a primary symptom in cases of diverticulitis of the colon. He quotes Mr. D. C. Corry: "If a middle-aged or elderly patient, apparently in fair health, has a sudden, unexpected, and alarmingly profuse rectal haemorrhage of perhaps several pints, full examination is likely to reveal diverticulosis of th...

Investigation of rectal bleeding.