An unusual cause of lower gastrointestinal haemorrhage

Janmohamed, Azara; Noronha, Lizanne; Saini, Ashish; Elton, Colin

doi:10.1136/bcr.11.2011.5102

Cited by 7 publications

(7 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 3 , 5 , 7 – 9 Two similar cases are described in the literature with massive lower GI bleeding occurring with constipation in the setting of anticoagulation or antiplatelet therapy, managed similarly with coil embolization. 10 , 11 This case serves to illustrate a less common etiology of rectal bleeding and highlights the effective use of angiography and selective embolization in the diagnostic and therapeutic approach to unstable massive lower GI bleeding. It is important to keep in mind that clinical status in these cases can change fairly quickly, and at times, segmental resection may ultimately be required.…”

Section: Discussionmentioning

confidence: 99%

Lower Gastrointestinal Hemorrhage Caused by Superior Rectal Artery Pseudoaneurysm

et al. 2020

View full text Add to dashboard Cite

Acute lower gastrointestinal (GI) bleeding is self-limiting and managed conservatively. Ongoing bleeding from a lower GI source and hemodynamic instability can create difficult diagnostic and therapeutic dilemmas. The severity of bleeding can necessitate emergent diagnostic and therapeutic interventions. Diverticulosis and angiodysplasias are the most common causes of massive lower GI hemorrhage. Other etiologies that can lead to life-threatening hemorrhage are important to recognize. We present a rare case of massive lower GI hemorrhage attributable to a superior rectal artery pseudoaneurysm. The absence of a preceding traumatic or iatrogenic cause distinguishes this case from other reports in the literature.

show abstract

Section: Discussionmentioning

confidence: 99%

Lower Gastrointestinal Hemorrhage Caused by Superior Rectal Artery Pseudoaneurysm

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Our thorough literature search found only 7 other documented cases – 3 were related to trauma (2 were secondary to direct rectal injury, 1 occurred after colonoscopic polypectomy) [ 2 – 4 ], and the remaining 4 were atraumatic. One patient presented with bleeding, likely related to clopidogrel use, another was reported with a history of renovascular hypertension secondary to fibrodysplasia, 1 patient was recognized following malignant tumor erosion into the vessel, and 1 patient was identified after bevacizumab use for sigmoid adenocarcinoma [ 5 – 8 ]. Although the reported cases had various causes, their symptom complexes were similar.…”

Section: Discussionmentioning

confidence: 99%

“…Although the reported cases had various causes, their symptom complexes were similar. Six of the known cases presented with a chief complaint of lower-gastrointestinal bleeding [ 2 – 5 , 7 , 8 ], and the remaining patient presented with complaints of worsening abdominal pain [ 6 ]. In addition, although the causes varied, the management plans in each of these cases, as well as our own, followed the previously stated recommendations.…”

Section: Discussionmentioning

confidence: 99%

Post-Traumatic Retroperitoneal Hematoma Caused by Superior Rectal Artery Pseudoaneurysm

et al. 2020

View full text Add to dashboard Cite

“…They may be traumatic, iatrogenic (from surgical, endoscopic or radiological interventional procedures). 4,5 When examined later, the Chinese stapler gun had an external diameter of 34.5 mm (Figs. 5 and 6), vis-a-vis the 33 mm of the standard guns.…”

Section: Discussionmentioning

confidence: 99%

Common operation, uncommon complication. Bleeding from superior haemorrhoidal artery after minimally invasive procedure for hemorrhoids – a case report

Rajkumar¹,

Reddy²,

Radhakrishnan³

et al. 2019

Journal of Coloproctology

View full text Add to dashboard Cite

Minimally invasive procedure for hemorrhoids is one of the commonest new wave operations done for prolapsed hemorrhoids. The diameter of the stapled tissue is critical in this operation, and an increase in the same could include more tissue in the anvil, with disastrous results. This is a case report of a post minimally invasive procedure for hemorrhoids bleed, which was refractory to two local oversewing attempts. When the bleeding was massive, an angiogram was obtained. This revealed a pseudo aneurysm of the left superior haemorrhoidal artery, which was embolized, stopping the bleed. The stapler dimensions were studied and the possible cause of the event was arrived at. The specific stapler used had a diameter of 2 mm more than the regular Medtronic and Ethicon staplers, possibly including more of the rectal wall, and the superior haemorrhoidal artery as well. This case report documents a rare and potentially fatal complication of a simple procedure.

show abstract

An unusual cause of lower gastrointestinal haemorrhage

Cited by 7 publications

References 15 publications

Lower Gastrointestinal Hemorrhage Caused by Superior Rectal Artery Pseudoaneurysm

Lower Gastrointestinal Hemorrhage Caused by Superior Rectal Artery Pseudoaneurysm

Post-Traumatic Retroperitoneal Hematoma Caused by Superior Rectal Artery Pseudoaneurysm

Common operation, uncommon complication. Bleeding from superior haemorrhoidal artery after minimally invasive procedure for hemorrhoids – a case report

Contact Info

Product

Resources

About