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A Case of Massive Gastrointestinal Bleeding Due to Abdominal Tuberculosis

This case is about a complication of abdominal tuberculosis in the form of a massive lower gastrointestinal (GI) bleed, which was timely intervened by angioembolization. A young man in his mid-20s on empirical anti-tubercular therapy (ATT) for abdominal tuberculosis, presented with severe abdominal...

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Autores principales: Bana, Sai Krishna Reddy, Lakshmanan, Suja, Rajendran, Vaasanthi, N, Senthil, Anil, Archa Anna, L, Nanthakumar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Iranian Association of Gastroerterology and Hepatology 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10660318/
https://www.ncbi.nlm.nih.gov/pubmed/38023460
http://dx.doi.org/10.34172/mejdd.2023.346
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author Bana, Sai Krishna Reddy
Lakshmanan, Suja
Rajendran, Vaasanthi
N, Senthil
Anil, Archa Anna
L, Nanthakumar
author_facet Bana, Sai Krishna Reddy
Lakshmanan, Suja
Rajendran, Vaasanthi
N, Senthil
Anil, Archa Anna
L, Nanthakumar
author_sort Bana, Sai Krishna Reddy
collection PubMed
description This case is about a complication of abdominal tuberculosis in the form of a massive lower gastrointestinal (GI) bleed, which was timely intervened by angioembolization. A young man in his mid-20s on empirical anti-tubercular therapy (ATT) for abdominal tuberculosis, presented with severe abdominal pain. The patient then developed frank per rectal bleeding, leading to a significant drop in hemoglobin level, requiring multiple blood transfusions. Upper GI endoscopy and colonoscopy findings were inconclusive. Contrast-enhanced computed tomography (CECT) of the abdomen was performed, which revealed a contrast extravasation into the jejunum due to a leak in the jejunal branch of the superior mesenteric artery (SMA), followed by selective SMA angiography (digital subtraction angiography), which was arrested by angioembolization. The patient had multiple abdominal lymphadenopathies with omental nodules. Histopathological examination of the omental nodules revealed epithelioid granuloma with Langerhans-type cells. The patient is currently receiving ATT and is doing well.
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spelling pubmed-106603182023-07-01 A Case of Massive Gastrointestinal Bleeding Due to Abdominal Tuberculosis Bana, Sai Krishna Reddy Lakshmanan, Suja Rajendran, Vaasanthi N, Senthil Anil, Archa Anna L, Nanthakumar Middle East J Dig Dis Case Report This case is about a complication of abdominal tuberculosis in the form of a massive lower gastrointestinal (GI) bleed, which was timely intervened by angioembolization. A young man in his mid-20s on empirical anti-tubercular therapy (ATT) for abdominal tuberculosis, presented with severe abdominal pain. The patient then developed frank per rectal bleeding, leading to a significant drop in hemoglobin level, requiring multiple blood transfusions. Upper GI endoscopy and colonoscopy findings were inconclusive. Contrast-enhanced computed tomography (CECT) of the abdomen was performed, which revealed a contrast extravasation into the jejunum due to a leak in the jejunal branch of the superior mesenteric artery (SMA), followed by selective SMA angiography (digital subtraction angiography), which was arrested by angioembolization. The patient had multiple abdominal lymphadenopathies with omental nodules. Histopathological examination of the omental nodules revealed epithelioid granuloma with Langerhans-type cells. The patient is currently receiving ATT and is doing well. Iranian Association of Gastroerterology and Hepatology 2023-07 2023-07-30 /pmc/articles/PMC10660318/ /pubmed/38023460 http://dx.doi.org/10.34172/mejdd.2023.346 Text en © 2023 Middle East Journal of Digestive Diseases https://creativecommons.org/licenses/by-nc-sa/4.0/ This work is published by Middle East Journal of Digestive Diseases as an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-sa/4.0/ (https://creativecommons.org/licenses/by-nc-sa/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Bana, Sai Krishna Reddy
Lakshmanan, Suja
Rajendran, Vaasanthi
N, Senthil
Anil, Archa Anna
L, Nanthakumar
A Case of Massive Gastrointestinal Bleeding Due to Abdominal Tuberculosis
title A Case of Massive Gastrointestinal Bleeding Due to Abdominal Tuberculosis
title_full A Case of Massive Gastrointestinal Bleeding Due to Abdominal Tuberculosis
title_fullStr A Case of Massive Gastrointestinal Bleeding Due to Abdominal Tuberculosis
title_full_unstemmed A Case of Massive Gastrointestinal Bleeding Due to Abdominal Tuberculosis
title_short A Case of Massive Gastrointestinal Bleeding Due to Abdominal Tuberculosis
title_sort case of massive gastrointestinal bleeding due to abdominal tuberculosis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10660318/
https://www.ncbi.nlm.nih.gov/pubmed/38023460
http://dx.doi.org/10.34172/mejdd.2023.346
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