Severe Ischemic Colitis from Gastric Ulcer Bleeding-Induced Shock in Patient with End Stage Renal Disease Receiving Hemodialysis
| Autor: | Nurhee Hong, Yong Sung Kim, Seok Youn Lee, Jaehoon Jahng, Young Sik Woo, Byung Wook Yoon, Jong Seol Park |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry Esophagogastroduodenoscopy medicine.medical_treatment Ischemia Sigmoid colon 030230 surgery medicine.disease Gastroenterology digestive system diseases Ischemic colitis Hematochezia Surgery End stage renal disease 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Internal medicine medicine 030211 gastroenterology & hepatology Hemodialysis Upper gastrointestinal bleeding medicine.symptom business |
| Zdroj: | The Korean Journal of Helicobacter and Upper Gastrointestinal Research. 16:165 |
| ISSN: | 1738-3331 |
| DOI: | 10.7704/kjhugr.2016.16.3.165 |
| Popis: | Upper gastrointestinal bleeding is a common condition and has various clinical courses and prognosis. End stage renal disease (ESRD) patients receiving hemodialysis have a high risk of vascular complications and increased risk of ischemic colitis. A 59-year-old male patient with ESRD receiving hemodialysis visited due to hematemesis. After admission, he showed recurrent hematemesis and hypovolemic shock. Upper esophagogastroduodenoscopy revealed gastric ulcer bleeding and endoscopic hemostasis was successfully performed. Blood transfusion and norepinephrine was administered for hypovolemic shock during initial 3 days. Ten days later, he exhibited hematochezia. Sigmoidoscopy revealed necrotic ischemic colitis in sigmoid colon and segmental colectomy was performed. However, recurrent leakage and ischemia were developed in colon as well as small bowel, and he finally died after 55 hospital days in spite of additional operations. Here, we report a case of peptic ulcer bleeding in patient with ESRD who suffered a severe form of ischemic colitis with transmural necrosis. (Korean J Helicobacter Up Gastrointest Res 2016;16:165-168) |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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