Marginal Artery of Drummond Masquerading as a Fistulous Tract Resulting in Recurrent Lower Gastrointestinal Bleeding

Lower gastrointestinal bleeding (LGIB) can be caused by a variety of causes. Pseudoaneurysms have been described as a rare etiology of LGIB and are associated with pancreatic pseudocysts that involve adjacent vasculature. Our study describes a 38-year-old man with recent severe coronavirus disease 2...

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Autores principales: Bejcek, Alexis, Ancha, Anupama, Amundsen, Tyson, Rodich, Sean, Smith, Steven, Johnson, Christopher
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10624456/
https://www.ncbi.nlm.nih.gov/pubmed/37928236
http://dx.doi.org/10.14309/crj.0000000000001193
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author Bejcek, Alexis
Ancha, Anupama
Amundsen, Tyson
Rodich, Sean
Smith, Steven
Johnson, Christopher
author_facet Bejcek, Alexis
Ancha, Anupama
Amundsen, Tyson
Rodich, Sean
Smith, Steven
Johnson, Christopher
author_sort Bejcek, Alexis
collection PubMed
description Lower gastrointestinal bleeding (LGIB) can be caused by a variety of causes. Pseudoaneurysms have been described as a rare etiology of LGIB and are associated with pancreatic pseudocysts that involve adjacent vasculature. Our study describes a 38-year-old man with recent severe coronavirus disease 2019 and necrotizing pancreatitis presenting with hematochezia and blood clots by gastrostomy-jejunostomy. Initial flexible sigmoidoscopy did not elicit an etiology for the LGIB. Recurrent hematochezia prompted colonoscopy and angiography, which demonstrated a pseudoaneurysm in the marginal artery of Drummond as the source. Our case highlights the importance of repeat evaluation of gastrointestinal bleeding of unknown etiology.
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spelling pubmed-106244562023-11-04 Marginal Artery of Drummond Masquerading as a Fistulous Tract Resulting in Recurrent Lower Gastrointestinal Bleeding Bejcek, Alexis Ancha, Anupama Amundsen, Tyson Rodich, Sean Smith, Steven Johnson, Christopher ACG Case Rep J Case Report Lower gastrointestinal bleeding (LGIB) can be caused by a variety of causes. Pseudoaneurysms have been described as a rare etiology of LGIB and are associated with pancreatic pseudocysts that involve adjacent vasculature. Our study describes a 38-year-old man with recent severe coronavirus disease 2019 and necrotizing pancreatitis presenting with hematochezia and blood clots by gastrostomy-jejunostomy. Initial flexible sigmoidoscopy did not elicit an etiology for the LGIB. Recurrent hematochezia prompted colonoscopy and angiography, which demonstrated a pseudoaneurysm in the marginal artery of Drummond as the source. Our case highlights the importance of repeat evaluation of gastrointestinal bleeding of unknown etiology. Wolters Kluwer 2023-11-03 /pmc/articles/PMC10624456/ /pubmed/37928236 http://dx.doi.org/10.14309/crj.0000000000001193 Text en © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution Licence 4.0 (CC BY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Bejcek, Alexis
Ancha, Anupama
Amundsen, Tyson
Rodich, Sean
Smith, Steven
Johnson, Christopher
Marginal Artery of Drummond Masquerading as a Fistulous Tract Resulting in Recurrent Lower Gastrointestinal Bleeding
title Marginal Artery of Drummond Masquerading as a Fistulous Tract Resulting in Recurrent Lower Gastrointestinal Bleeding
title_full Marginal Artery of Drummond Masquerading as a Fistulous Tract Resulting in Recurrent Lower Gastrointestinal Bleeding
title_fullStr Marginal Artery of Drummond Masquerading as a Fistulous Tract Resulting in Recurrent Lower Gastrointestinal Bleeding
title_full_unstemmed Marginal Artery of Drummond Masquerading as a Fistulous Tract Resulting in Recurrent Lower Gastrointestinal Bleeding
title_short Marginal Artery of Drummond Masquerading as a Fistulous Tract Resulting in Recurrent Lower Gastrointestinal Bleeding
title_sort marginal artery of drummond masquerading as a fistulous tract resulting in recurrent lower gastrointestinal bleeding
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10624456/
https://www.ncbi.nlm.nih.gov/pubmed/37928236
http://dx.doi.org/10.14309/crj.0000000000001193
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