The study introduced 7 medical records of upper digestive bleeding in the Army Central Hospital 108. Bleeding occurred in position that easy to diagnose such as duodenum, esophageal, gastric small curve, etc... the causes of upper digestive bleeding include gastric and duodenal ulceration, gastric cancer, esophageal venous dilatation and rupture in patients with cirrhosis with the increase of portal pressure. Some other causes comprise the malignant lymphoma schawonnome or hepatoma, invasive pancreatic tumor into duodenal. It should have combination of endoscopy with biopsy, ultrasound, CT scanner to precisely diagnose.
Gastrointestinal Hemorrhage ; diagnosis ; therapeutics ; etiology

Massive rectal bleeding from the appendix, considered a rare case of lower gastrointestinal bleeding, is not easily recognized by various diagnostic modalities. A multidisciplinary approach for both a diagnosis and a differential diagnosis is important because the identification of the bleeding site is crucial to proceed to a proper intervention and there are various causes of appendiceal bleeding. Because early colonoscopy plays an important role in the diagnosis and management of lower gastrointestinal hemorrhage, we report a case of a life threatening massive rectal bleeding from the appendix diagnosed by colonoscopy. We also present a review of the literature.
Appendix ; Colonoscopy ; Diagnosis, Differential ; Gastrointestinal Hemorrhage ; Hemorrhage

Aortoesophageal fistula is a rare but fatal cause of upper gastrointestinal bleeding. Sign and symptoms of gastrointestinal hemorrhage followed by sudden collapse hours to days later prompt consideration of an aortoesophageal fistula. So sudden and unexpected deaths occur in usually hospitalized patient with a diagnosis of potentially lethal disease has never been made. And most death cases of aortoesophageal fistula have an actual or potential medicolegal aspect. We report a case of aortoesophageal fistula with the discussion of the etiology, symptoms and diagnosis of aortoesophageal fistula.
Death, Sudden* ; Diagnosis ; Fistula* ; Gastrointestinal Hemorrhage ; Hemorrhage ; Humans

The Dieulafoy's lesion is an unusual cause of gastrointestinal hemorrhage that results from the erosion of abnormally large submucosal artery. The lesion is usually located in the stomach, although it may occur anywhere in the gastrointestinal tract. Lower GI bleeding from Dieulafoy- like lesion of rectum is very rare. We describe one patient with extragastric Dieulafoy's disease, in the rectum. Diagnosis was made by endoscopy. Recently, endoscopy is important in the treatment of Dieulafoy-like lesion of rectum including epinephrine injection and coagulation therapy. We treated with the endoscopic management using ligation technique. We report a case that the 65-year old women had a extragastric Dieulafoy's lesion on the rectum, treated by endoscopic ligation with O-ring.
Aged ; Arteries ; Diagnosis ; Endoscopy ; Epinephrine ; Female ; Gastrointestinal Hemorrhage ; Gastrointestinal Tract ; Hemorrhage ; Humans ; Ligation* ; Rectum* ; Stomach

Arteriovenous malformations (AVMs) comprising a feeding artery, nidus, and draining vein rarely develop in the gastrointestinal tract. Although almost all AVMs are asymptomatic, they cause massive painless rectal bleeding and subsequent chronic anemia. The definitive diagnosis of AVM is achieved by selective mesenteric angiography, and surgical resection is the treatment of choice. We detected an intestinal AVM involving the descending colon in a patient with severe hematochezia. The diagnosis was made by CT angiography performed using a 64-channel MDCT and the obtained 3D reconstruction images. The AVM showed an extensive vascular network on CT images, and it was treated by surgical resection. Here, we report this case of an intestinal AVM along with its imaging findings.
Anemia ; Angiography ; Arteries ; Arteriovenous Malformations* ; Colon, Descending* ; Diagnosis ; Gastrointestinal Hemorrhage ; Gastrointestinal Tract ; Hemorrhage ; Humans ; Veins

Celiac Artery ; surgery ; Gastrointestinal Hemorrhage ; diagnosis ; Humans ; Male ; Middle Aged

Gastrointestinal (GI) hemangiomas are relatively rare benign vascular tumors. The choice of an appropriate diagnostic method depends on patient age, anatomic location, and presenting symptoms. However, GI hemangiomas are not a common suspected cause of GI bleeding in children because of their rarity. Based on medical history, laboratory results, and imaging study findings, the patient could be treated with either medication or surgery. Herein, we report 3 cases of GI hemangioma found in the small bowel, rectum, and GI tract (multiple hemangiomas). Better knowledge and understanding of GI hemangioma could help reduce the delayed diagnosis rate and prevent inappropriate management. Although rare, GI hemangiomas should be considered in the differential diagnosis of GI bleeding.
Child ; Delayed Diagnosis ; Diagnosis, Differential ; Gastrointestinal Hemorrhage ; Gastrointestinal Tract ; Hemangioma* ; Hemangioma, Cavernous ; Hemorrhage* ; Humans ; Rectum ; Vascular Neoplasms

Hepatocellular carcinoma is an one of the most common malignancies worldwidely. Recent advances in both the diagnosis and treatment of hepatocellular carcinoma have improved the prognosis, but it has been known difficult in early diagnosis and treatment of extrahepatic metastasis because of low diagnosis rate. We have experienced one rare case of recurred hepatocellular carcinoma with gastric invasion in the postoperative tissue which was confirmed by endoscopy and operation in a gastrointestinal hemorrhage pateint.
Carcinoma, Hepatocellular* ; Diagnosis ; Early Diagnosis ; Endoscopy ; Gastrointestinal Hemorrhage* ; Hemorrhage ; Neoplasm Metastasis ; Prognosis

OBJECTIVETo investigate the diagnostic value and safety of single-balloon electronic enteroscopy in children with small intestinal bleeding.

METHODSSeventy children with clinically suspected small intestinal bleeding, including 38 males and 32 females aged 4-13 years, underwent single-balloon enteroscopy under general anesthesia. Twenty-six cases underwent the procedure through the mouth, 32 cases through the anus, and 12 cases through both.

RESULTSOf the 70 children, 58 (83%) had small bowel disease according to the single-balloon enteroscopy results, including 24 cases of non-specific inflammation, 12 cases of allergic purpura, 8 cases of Crohn's disease, 8 cases of Meckel's diverticulum, and 6 cases of Peutz-Jeghers syndrome.

CONCLUSIONSSingle-balloon enteroscopy is a safe, effective means for the diagnosis of small intestinal bleeding among children.

Adolescent ; Child ; Child, Preschool ; Endoscopy, Gastrointestinal ; methods ; Female ; Gastrointestinal Hemorrhage ; diagnosis ; Humans ; Intestine, Small ; pathology ; Male

Adolescent ; Adult ; Aged ; Child ; Endoscopy, Gastrointestinal ; methods ; Female ; Gastrointestinal Hemorrhage ; diagnosis ; pathology ; Humans ; Male ; Middle Aged