| Autor: |
Marziani, Beatrice, Spampinato, Michele Domenico, Caputo, Fabio, Guarino, Matteo, Luppi, Francesco, Perna, Benedetta, Passaro, Angelina, Cariani, Daniele, Merighi, Alberto, Arena, Rosario, De Giorgio, Roberto |
| Předmět: |
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| Zdroj: |
Emergency Care Journal; 2023, Vol. 19 Issue 3, p1-4, 4p |
| Abstrakt: |
Upper gastrointestinal bleeding (UGIB) spans from minor bleeding to life-threatening events. Identification of early signs of shock, proper management of hemodynamically unstable patients, and correct risk stratification are essential for an appropriate diagnostic workup and therapy. We present here the case of a 30-yearold man who was admitted to our emergency department for haematemesis. Shortly after admission, further episodes of haematemesis occurred, and the patient’s condition rapidly deteriorated to irreversible shock. A contrast-enhanced computed tomography of the abdomen revealed morphological features of chronic liver disease and oesophageal varices. The patient underwent an upper gastrointestinal endoscopy, confirming oesophageal varices with massive bleeding. Although promptly applied, endoscopic hemostasis was ineffective, and the patient died twelve hours after his admission. Based on this case, we reviewed the diagnostic and therapeutic approaches for patients with massive UGIB and provided a practical approach to this life-threatening emergency. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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