An uncommon cause of lower gastrointestinal bleeding: a case report

BACKGROUND: This report calls attention to severe gastrointestinal hemorrhage as a manifestation of small bowel carcinod tumor. PATIENT: We report a case of an adult in his 5th decade presenting with massive melena. INTERVENTIONS: On presentation the patient was tachycardic (pulse115/min), and hypot...

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Detalles Bibliográficos
Autores principales: Dutta, Gautam, Panda, Mukta
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2008
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2577108/
https://www.ncbi.nlm.nih.gov/pubmed/18851756
http://dx.doi.org/10.1186/1757-1626-1-235
Descripción
Sumario:BACKGROUND: This report calls attention to severe gastrointestinal hemorrhage as a manifestation of small bowel carcinod tumor. PATIENT: We report a case of an adult in his 5th decade presenting with massive melena. INTERVENTIONS: On presentation the patient was tachycardic (pulse115/min), and hypotensive (BP 80/55 mmHg). His complete physical examination was unremarkable. Rectal exam showed frank blood. Nasogastric lavage produced greenish fluid with no blood. His hemoglobin was 8.1 gm/dl and hematocrit was 25.1%. Panendoscopy revealed an ileal bleeding mass. Interestingly a colonoscopy done 6 months earlier for anemia workup was normal. Emergent laparotomy revealed numerous smaller intraluminal nodules scattered throughout the small bowel. RESULTS: Histopathology revealed carcinoid tumor.

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