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Lower Gastrointestinal Bleed Playing Hide and Seek

A 13-year-old adolescent male presented with an episode of rectal bleed. He has had five such episodes in the past year where he witnessed black tarry stools mixed with fresh blood, painless, not associated with fever or hematemesis. Clinical examination revealed pallor and a soft, non-tender abdome...

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Autores principales: Khurana, Aditi, Ravindra, Shubha Gadde, Garg, Sumit, Jaleel, Jasim, Yadav, Devendra Kumar, Kumar, Rakesh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9930449/
https://www.ncbi.nlm.nih.gov/pubmed/36817191
http://dx.doi.org/10.4103/ijnm.ijnm_127_22
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author Khurana, Aditi
Ravindra, Shubha Gadde
Garg, Sumit
Jaleel, Jasim
Yadav, Devendra Kumar
Kumar, Rakesh
author_facet Khurana, Aditi
Ravindra, Shubha Gadde
Garg, Sumit
Jaleel, Jasim
Yadav, Devendra Kumar
Kumar, Rakesh
author_sort Khurana, Aditi
collection PubMed
description A 13-year-old adolescent male presented with an episode of rectal bleed. He has had five such episodes in the past year where he witnessed black tarry stools mixed with fresh blood, painless, not associated with fever or hematemesis. Clinical examination revealed pallor and a soft, non-tender abdomen. Vitals were stable. Blood investigations revealed haemoglobin of 102g/L, WBC count of 10 X 109/L and platelet count of 165 × 109/L. The clotting screen was normal. Upper GI endoscopy and colonoscopy revealed no abnormality. The patient underwent Tc-99m pertechnetate scintigraphy to look for Meckel's Diverticulum in view of painless lower GI bleed.
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spelling pubmed-99304492023-02-16 Lower Gastrointestinal Bleed Playing Hide and Seek Khurana, Aditi Ravindra, Shubha Gadde Garg, Sumit Jaleel, Jasim Yadav, Devendra Kumar Kumar, Rakesh Indian J Nucl Med Interesting Image A 13-year-old adolescent male presented with an episode of rectal bleed. He has had five such episodes in the past year where he witnessed black tarry stools mixed with fresh blood, painless, not associated with fever or hematemesis. Clinical examination revealed pallor and a soft, non-tender abdomen. Vitals were stable. Blood investigations revealed haemoglobin of 102g/L, WBC count of 10 X 109/L and platelet count of 165 × 109/L. The clotting screen was normal. Upper GI endoscopy and colonoscopy revealed no abnormality. The patient underwent Tc-99m pertechnetate scintigraphy to look for Meckel's Diverticulum in view of painless lower GI bleed. Wolters Kluwer - Medknow 2022 2022-12-02 /pmc/articles/PMC9930449/ /pubmed/36817191 http://dx.doi.org/10.4103/ijnm.ijnm_127_22 Text en Copyright: © 2022 Indian Journal of Nuclear Medicine https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Interesting Image
Khurana, Aditi
Ravindra, Shubha Gadde
Garg, Sumit
Jaleel, Jasim
Yadav, Devendra Kumar
Kumar, Rakesh
Lower Gastrointestinal Bleed Playing Hide and Seek
title Lower Gastrointestinal Bleed Playing Hide and Seek
title_full Lower Gastrointestinal Bleed Playing Hide and Seek
title_fullStr Lower Gastrointestinal Bleed Playing Hide and Seek
title_full_unstemmed Lower Gastrointestinal Bleed Playing Hide and Seek
title_short Lower Gastrointestinal Bleed Playing Hide and Seek
title_sort lower gastrointestinal bleed playing hide and seek
topic Interesting Image
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9930449/
https://www.ncbi.nlm.nih.gov/pubmed/36817191
http://dx.doi.org/10.4103/ijnm.ijnm_127_22
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