Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | sâmbătă, 19 ianuarie 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
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LOWER DIGESTIVE TRACT HAEMORRHAGE AND SEVERE SUBSEQUENT ANAEMIA DUE TO A RARE CAUSE
D. Munteanu 1, C. Iancu 1, C. Puia 1, Al. Munteanu 2

1 3-rd Surgical Clinic, University of Medicine and Pharmacy Cluj-Napoca
2 student – University of Medicine and Pharmacy Cluj-Napoca
Jurnalul de chirurgie 2006; 2 (4):411-414
Full text: Format PDF (Romanian)

Abstract:

BACKGROUND: to discuss and analyse the evolutive, diagnostic and therapeutic features in a patient with recurrent episodes of bleeding from the lower gastrointestinal tract, due to a rare cause.

METHODS: the case of a zoung male patient with a severe acute posthaemorrhagic anaemia caused by an serious episode of bleeding from the lower gastrointestinal tract is disscussed. We comment upon the efficiency of our diagnostic procedures and therapeutic strategy in this case, with a final review of the literature.

RESULTS: gastro-duodenal endoscopy and colonoscopy couldn't establish the source of bleeding but gave a valuable guide for our suspicions. Not even the scintigraphic study with Tc –99m per technectate was able to give us more information. Laparotomy revealed a Meckel's diverticulum with a bleeding ulcer; segmentary enterectomy was performed.

CONCLUSIONS: obviously neither upper nor lower endoscopy could establish the source of bleeding in our case; still they guiding our suspicions toward this kind of lesion. Laparoscopy if available could have established the diagnosis and give the terapeutic solution at the time. Considering the severity of bleeding episods, laparotomy was, at that time, the single valid option; we think it should have been performed much earlier, after the first bleeding episodes.

KEYWORDS: LOWER INTESTINAL BLEEDING, MECKEL DIVERTICULA, SCINTIGRAPHY

Paper presented to the 4-th International Conference of Surgery, Iasi, October 19-22, 2006.



: Creative Commons License
Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.