Evaluation and Management of Lower GI Bleeding.
| Autor: | Drezdzon MK; Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin., Peterson KJ |
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| Jazyk: | angličtina |
| Zdroj: | Diseases of the colon and rectum [Dis Colon Rectum] 2022 Jun 01; Vol. 65 (6), pp. 785-788. Date of Electronic Publication: 2022 May 03. |
| DOI: | 10.1097/DCR.0000000000002461 |
| Abstrakt: | Case Summary: A 73-year-old woman, who had received apixaban for therapeutic anticoagulation, presented with hypotension and hematochezia. After resuscitation, diagnostic colonoscopy revealed multiple polyps and old blood within the colonic lumen, but no active bleeding (Fig. 1). Nasogastric lavage and subsequent EGD were unremarkable. During her hospitalization, she was admitted to the intensive care unit with worsening anemia, hypotension, and hematochezia. CT angiogram showed extravasation at the transverse colon (Fig. 1). Formal angiogram was unable to localize the source of bleeding, despite provocation. Given the localization on CT angiography and the patient's clinical deterioration, she underwent hand-assisted segmental transverse colectomy. Surgical pathology was notable for multiple adenomas without dysplasia. The patient had no further episodes of GI bleeding after resection. (Copyright © The ASCRS 2022.) |
| Databáze: | MEDLINE |
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