A rare cause of gastrointestinal hemorrhage
نویسندگان
چکیده
syndrome and jaundice was significantly improved (Fig. B). Massive bloody stool with hypovolemic shock occurred 5 days later. No abnormalities were observed on esophagogastroduodenoscopy. Colonoscopy revealed a protruding mass with superficial ulceration in the hepatic fracture (Fig. C). What is the most likely diagnosis? Question: An 88-year-old man with a 2-week history of right upper abdominal pain and fever was brought to MacKay Memorial Hospital. Physical examination revealed icteric sclera and tenderness in the right upper quadrant. Laboratory studies showed a white cell count of 21,000/μL and total bilirubin level of 9.1 mg/dL on admission. CT revealed acute calculous cholecystitis (Fig. A). Endoscopic retrograde
منابع مشابه
GASTROINTESTINAL BLEEDING FROM A FISTULA BETWEEN A HEPATIC ARTERY ANEURYSM AND THE DUODENUM: A CASE REPORT AND REVIEW OF THE LI TERATURE
Hepatic artery aneurysms are a rare cause of upper gastrointestinal hemorrhage and may represent significant problems in both diagnosis and management. We report a 70 year old patient with gastrointestinal bleeding from a fistula between a 7 cm hepatic artery aneurysm and the duodenum. He underwent successful surgical management with endoaneurysmorrhaphy and duodenal wall repair.
متن کاملMASSIVE GASTROINTESTINAL HEMORRHAGE IN COMBAT CASUALTIES AND TRAUMA VICTIMS SECONDARY TO ARTERIO-VISCERAL FISTULAS
Massive upper gastrointestinal bleeding is a known complication of advanced sepsis in trauma patients and carries a grave prognosis. However, to our knowledge, an important cause of massive gastrointestinal bleeding, arterio-visceral fistula, has not been discussed in the literature. The most common cause of this unique clinical entity is penetrating high velocity abdominal injuries, altho...
متن کاملA Rare Cause of Acute Upper Gastrointestinal Hemorrhage
Acute upper gastrointestinal tract hemorrhage represents a frequent morbidity which can be localized and treated endoscopically. When endoscopic treatment alone is failing, radiological or surgical treatment may be warranted. A case history will be presented regarding a rare cause of intestinal hemorrhage with an extraordinary course of illness.
متن کاملA Rare Cause of Upper Gastrointestinal Bleeding; Non-Hodgkin’s Lymphoma
Acute upper gastrointestinal bleeding (UGIB) is a common indication for upper gastrointestinal endoscopy, with a large audit reporting 14% mortality [1,2]. Although, the gastrointestinal tract is the most common site of the lymphoma, lymphoma is a rare cause of the gastrointestinal bleeding [3]. In this paper, we present a case with non-Hodgkin’s Lymphoma (NHL) resulting in massive gastrointest...
متن کاملA Rare Cause of Primary Aortoenteric Fistula: Streptococcus parasanguinis Aortitis
Primary aortoenteric fistula is a rare cause of upper gastrointestinal bleed but can lead to significant mortality if the diagnosis is delayed. Aortitis, characterized by inflammation of the aortic wall, is a rare cause of aortoenteric fistula. We present a case report of a 72-year-old male patient with infectious aortoenteric fistula secondary to Streptococcus parasanguinis, along with a revie...
متن کاملRare cause of delayed upper gastrointestinal bleeding after pancreaticoduodenectomy.
CONTEXT Luminal bleeding after pancreaticoduodenectomy can be present in various degrees of acuity in up to 30% of patients. CASE REPORT In this report, we describe a rare and uncommon cause of gastrointestinal bleeding after pancreaticoduodenectomy and review of the literature. CONCLUSIONS Multiple biliary procedures with common complications increase the difficulty making the correct diag...
متن کامل