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Ileocecal resection for massive rectal bleeding due to Yersinia enterocolitica: a case report and review of the literature
INTRODUCTION: Massive gastrointestinal bleeding is an emergency that can sometimes require immediate surgery. We report the first case, to the best of our knowledge, of massive rectal bleeding due to Yersinia enterocolitica, requiring ileocecal resection. CASE PRESENTATION: A 41-year-old North Afric...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4717558/ https://www.ncbi.nlm.nih.gov/pubmed/26781434 http://dx.doi.org/10.1186/s13256-015-0786-2 |
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author | Azghari, Ilham Bargach, Aicha Moatassim Billah, Nabil Essaoudi, Mohamed Amine Jahid, Ahmed Kabbaj, Nawal |
author_facet | Azghari, Ilham Bargach, Aicha Moatassim Billah, Nabil Essaoudi, Mohamed Amine Jahid, Ahmed Kabbaj, Nawal |
author_sort | Azghari, Ilham |
collection | PubMed |
description | INTRODUCTION: Massive gastrointestinal bleeding is an emergency that can sometimes require immediate surgery. We report the first case, to the best of our knowledge, of massive rectal bleeding due to Yersinia enterocolitica, requiring ileocecal resection. CASE PRESENTATION: A 41-year-old North African woman was admitted to our emergency department for massive rectal bleeding. She had a history of an iron deficiency anemia of unknown cause, and diarrhea 2 months before the admission. On admission to our emergency unit, she was in a state of hemodynamic collapse. An examination showed discolored conjunctivas, massive rectal bleeding with clots and no abdominal pain. The first medical treatment included the use of noradrenaline. An upper gastrointestinal endoscopy was performed and did not show any lesions. Computed tomography of her abdomen showed significant and hypervascular wall thickening of her terminal ileum suggestive of a tumor. Because her massive rectal bleeding worsened and her collapse persisted, an exploratory laparotomy and ileocecal resection were immediately performed on the patient. Histopathological analysis showed enteritis caused by Yersinia enterocolitica. Her outcome was favorable. CONCLUSION: Enteritis due to Yersinia enterocolitica can take a pseudotumoral form and mislead the diagnosis of gastrointestinal bleeding. |
format | Online Article Text |
id | pubmed-4717558 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-47175582016-01-20 Ileocecal resection for massive rectal bleeding due to Yersinia enterocolitica: a case report and review of the literature Azghari, Ilham Bargach, Aicha Moatassim Billah, Nabil Essaoudi, Mohamed Amine Jahid, Ahmed Kabbaj, Nawal J Med Case Rep Case Report INTRODUCTION: Massive gastrointestinal bleeding is an emergency that can sometimes require immediate surgery. We report the first case, to the best of our knowledge, of massive rectal bleeding due to Yersinia enterocolitica, requiring ileocecal resection. CASE PRESENTATION: A 41-year-old North African woman was admitted to our emergency department for massive rectal bleeding. She had a history of an iron deficiency anemia of unknown cause, and diarrhea 2 months before the admission. On admission to our emergency unit, she was in a state of hemodynamic collapse. An examination showed discolored conjunctivas, massive rectal bleeding with clots and no abdominal pain. The first medical treatment included the use of noradrenaline. An upper gastrointestinal endoscopy was performed and did not show any lesions. Computed tomography of her abdomen showed significant and hypervascular wall thickening of her terminal ileum suggestive of a tumor. Because her massive rectal bleeding worsened and her collapse persisted, an exploratory laparotomy and ileocecal resection were immediately performed on the patient. Histopathological analysis showed enteritis caused by Yersinia enterocolitica. Her outcome was favorable. CONCLUSION: Enteritis due to Yersinia enterocolitica can take a pseudotumoral form and mislead the diagnosis of gastrointestinal bleeding. BioMed Central 2016-01-19 /pmc/articles/PMC4717558/ /pubmed/26781434 http://dx.doi.org/10.1186/s13256-015-0786-2 Text en © Azghari et al. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Case Report Azghari, Ilham Bargach, Aicha Moatassim Billah, Nabil Essaoudi, Mohamed Amine Jahid, Ahmed Kabbaj, Nawal Ileocecal resection for massive rectal bleeding due to Yersinia enterocolitica: a case report and review of the literature |
title | Ileocecal resection for massive rectal bleeding due to Yersinia enterocolitica: a case report and review of the literature |
title_full | Ileocecal resection for massive rectal bleeding due to Yersinia enterocolitica: a case report and review of the literature |
title_fullStr | Ileocecal resection for massive rectal bleeding due to Yersinia enterocolitica: a case report and review of the literature |
title_full_unstemmed | Ileocecal resection for massive rectal bleeding due to Yersinia enterocolitica: a case report and review of the literature |
title_short | Ileocecal resection for massive rectal bleeding due to Yersinia enterocolitica: a case report and review of the literature |
title_sort | ileocecal resection for massive rectal bleeding due to yersinia enterocolitica: a case report and review of the literature |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4717558/ https://www.ncbi.nlm.nih.gov/pubmed/26781434 http://dx.doi.org/10.1186/s13256-015-0786-2 |
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