Upper gastrointestinal blood cast due to massive oropharyngeal bleeding.

Autor:	Rajdev K; Pulmonary, Critical Care & Sleep Medicine, University of Nebraska Medical Center, Omaha, Nebraska, USA., Khauli S; Pulmonary, Critical Care & Sleep Medicine, University of Nebraska Medical Center, Omaha, Nebraska, USA., El-Kersh K; Pulmonary, Critical Care & Sleep Medicine, University of Nebraska Medical Center, Omaha, Nebraska, USA kelkersh@unmc.edu.
Jazyk:	angličtina
Zdroj:	BMJ case reports [BMJ Case Rep] 2022 Sep 15; Vol. 15 (9). Date of Electronic Publication: 2022 Sep 15.
DOI:	10.1136/bcr-2022-251499
Abstrakt:	We present a case of a patient with recurrent squamous cell cancer of the base of the tongue and right tonsil who developed severe haematemesis. An elongated blood cast of the upper gastrointestinal tract was noted in the emesis. The patient required emergent intubation and blood transfusions. A CT scan with contrast revealed the presence of a pseudoaneurysm of the right lingual artery. Successful control of bleeding was achieved with coil embolisation of the pseudoaneurysm and its feeding artery. This case highlights that oropharyngeal bleeding can mimic gastrointestinal bleeding. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Limited 2022. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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