Indwelling Bowel Management System as a Cause of Life-Threatening Rectal Bleeding
| Autor: | Guy Fishwick, Michael Thomas, Elizabeth Bright, David P. Berry |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2008 |
| Předmět: |
medicine.medical_specialty
business.industry digestive oral and skin physiology Gastroenterology Bowel management Faecal incontinence Gastrointestinal haemorrhage Indwelling catheters Intensive care unit Respiratory support Published: November 2008 Diarrhoea law.invention law Medicine lcsh:Diseases of the digestive system. Gastroenterology lcsh:RC799-869 business Intensive care medicine |
| Zdroj: | Case Reports in Gastroenterology Case Reports in Gastroenterology, Vol 2, Iss 3, Pp 351-355 (2008) |
| ISSN: | 1662-0631 |
| Popis: | A 79-year-old male was transferred to the intensive care unit for postoperative respiratory support. An indwelling bowel management system was inserted for containment of noninfective diarrhoea. Following only 11 days of continual use the patient developed life-threatening rectal bleeding. Preoperative normal rectal mucosa and anatomy were documented. There was no evidence of postoperative coagulopathy. Mesenteric angiography identified bleeding from a branch of the superior rectal artery. Rectal mucosa pressure necrosis secondary to the indwelling Flexi-Seal® Fecal Management System was diagnosed. The patient required an 11-unit transfusion of packed red cells. Following intraarterial coil embolization of the superior rectal artery the bleeding abated. Indwelling bowel management systems are commonly used in immobile and critically ill patients with diarrhoea or faecal incontinence. This is the first report of this important complication in the literature. |
| Databáze: | OpenAIRE |
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