Gastric mucosal longitudinal tears after drowning

Autor: Masao Toki, Masanori Sugiyama, Shin'ichi Takahashi, Yasuharu Yamaguchi, Tomohiko Hasue, Kenji Nakamura
Rok vydání: 2011
Předmět:
Zdroj: Gastrointestinal endoscopy. 76(6)
ISSN: 1097-6779
Popis: A 90-year-old man with spondylosis deformans but no other pertinent medical history was found drowning in a public bath. He was successfully resuscitated by mouthto-mouth respiration without cardiac massage; regurgitation of gastric contents was noted during resuscitation. Three hours after admission to the hospital he had tarry stools and a decrease in hematocrit from 31.1% to 21.5%. EGD revealed several longitudinal mucosal tears with visible vessels in the upper body of the stomach and a massive blood clot in the stomach (A; arrowhead indicates visible vessel). Hemostasis was achieved by endoscopic clipping (B; arrow indicates clip). He had no further bleeding and was discharged in stable condition. DISCLOSURE All authors disclosed no financial relationships relevant to this publication.
Databáze: OpenAIRE