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Acute Hemorrhagic Rectal Ulcer Presenting With Severe Lower Gastrointestinal Bleeding: A Case Report of an Emerging Entity.
Cureus
November 2024
Gastroenterology and Hepatology, American University of Beirut, Beirut, LBN.
Acute hemorrhagic rectal ulcer (AHRU) is a rare but potentially life-threatening condition. We present the case of a 74-year-old man who developed sudden massive hematochezia and hypotension during hospitalization for fever of unknown origin. He was known to have alcohol-related liver cirrhosis, hypoalbuminemia and coronary artery disease (CAD) and was on daily aspirin.
View Article and Find Full Text PDFEndoscopic ultrasound-guided vascular interventions: A review (with videos).
Indian J Gastroenterol
October 2024
Department of Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, 226 014, India.
Article Synopsis
- Endoscopic ultrasound (EUS) has transitioned from being solely a diagnostic tool to an interventional method that allows for precise treatment options, particularly in vascular access and therapy related to liver diseases.* -
- EUS-guided procedures, like measuring portal pressure gradients and sampling portal venous blood, play a key role in diagnosing and managing various cancers and liver conditions, such as hepatocellular carcinoma and portal vein tumor thrombus.* -
- The application of EUS is expanding to include treatments for complications like pseudoaneurysms and gastrointestinal bleeding, highlighting its growing importance in modern medical practice for both current and future therapeutic interventions.*
Over-the-scope clip as a rescue treatment for massive bleeding due to Dieulafoy lesion at the colorectal anastomosis: A case report.
Medicine (Baltimore)
April 2024
Department of Gastroenterology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People's Republic of China.
Rationale: The bleeding of Dieulafoy lesion predominantly involves the proximal stomach and leads to severe gastrointestinal bleeding. However, these lesions have also been reported in the whole gastrointestinal tract. Bleeding of Dieulafoy lesions at the anastomosis was seldomly reported and was very easy to be ignored clinically.
View Article and Find Full Text PDFEndoscopic Ultrasound-Guided Coil Embolization of Refractory Rectal Dieulafoy Bleeding.
ACG Case Rep J
April 2024
Gastroenterology, Department of Veteran Affairs Health Care System, West Palm Beach, FL.
Hematochezia due to recurrent bleeding from rectal Dieulafoy can be challenging for endotherapy. We report the first case of successful endoscopic ultrasound-guided coil embolization of a feeding arteriole to the peripheral Dieulafoy vessels in the region of a colorectal anastomosis. The patient presented with recurrent lower gastrointestinal hemorrhage despite multiple previous conventional endoscopic treatment modalities.
View Article and Find Full Text PDFSuccessful hemostasis with red dichromatic imaging for bleeding rectal dieulafoy's lesion.
Endoscopy
December 2024
Division of Gastroenterology, Changhua Christian Hospital, Changhua, Taiwan.
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