Severe Ischemic Colitis from Gastric Ulcer Bleeding-Induced Shock in Patient with End Stage Renal Disease Receiving Hemodialysis.
10.7704/kjhugr.2016.16.3.165
- Author:
Byung Wook YOON
1
;
Jong Seol PARK
;
Young Sik WOO
;
Jaehoon JAHNG
;
Seok Youn LEE
;
Nurhee HONG
;
Yong Sung KIM
Author Information
1. Department of Internal Medicine, Wonkwang University Sanbon Hospital, Wonkwang University School of Medicine, Gunpo, Korea. wms89@hanmail.net
- Publication Type:Case Report
- Keywords:
Stomach ulcer;
Colitis, ischemic;
Necrosis;
Kidney failure, chronic
- MeSH:
Blood Transfusion;
Colectomy;
Colitis, Ischemic*;
Colon;
Colon, Sigmoid;
Endoscopy, Digestive System;
Gastrointestinal Hemorrhage;
Hematemesis;
Hemorrhage;
Hemostasis, Endoscopic;
Humans;
Ischemia;
Kidney Failure, Chronic*;
Male;
Middle Aged;
Necrosis;
Norepinephrine;
Peptic Ulcer;
Prognosis;
Renal Dialysis*;
Shock*;
Sigmoidoscopy;
Stomach Ulcer*
- From:The Korean Journal of Helicobacter and Upper Gastrointestinal Research
2016;16(3):165-168
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Upper gastrointestinal bleeding is a common condition and has various clinical courses and prognosis. End stage renal disease (ESRD) patients receiving hemodialysis have a high risk of vascular complications and increased risk of ischemic colitis. A 59-year-old male patient with ESRD receiving hemodialysis visited due to hematemesis. After admission, he showed recurrent hematemesis and hypovolemic shock. Upper esophagogastroduodenoscopy revealed gastric ulcer bleeding and endoscopic hemostasis was successfully performed. Blood transfusion and norepinephrine was administered for hypovolemic shock during initial 3 days. Ten days later, he exhibited hematochezia. Sigmoidoscopy revealed necrotic ischemic colitis in sigmoid colon and segmental colectomy was performed. However, recurrent leakage and ischemia were developed in colon as well as small bowel, and he finally died after 55 hospital days in spite of additional operations. Here, we report a case of peptic ulcer bleeding in patient with ESRD who suffered a severe form of ischemic colitis with transmural necrosis.
