1.Upper digestive bleeding due to rare causes. Diagnosis and treatment
Journal of Preventive Medicine 2002;12(1):31-32
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
3.Massive gastrointestinal bleeding from Meckel diverticulum with ectopic pancreatic tissue.
Jian-feng YANG ; Lei-min SUN ; Xian-fa WANG ; Ning DAI
Chinese Medical Journal 2011;124(4):631-633
Meckel diverticulum (MD), a congenital gastrointestinal anomaly, is often involved in pediatrics, but less in the adult population. The patient in this report was a 69-year-old female presented with massive gastrointestinal bleeding causing hemorrhagic shock due to MD containing ectopic pancreatic tissue. A review of the literature revealed that gastrointestinal bleeding from MD containing ectopic pancreatic tissue is rare in adults and difficult to be identified preoperation. MD should be considered as one of the differential diagnosis for lower gastrointestinal bleeding, although scarce in adults, especially when the patient has massive painless bleeding.
Aged
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Choristoma
;
diagnosis
;
physiopathology
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Female
;
Gastrointestinal Hemorrhage
;
diagnosis
;
etiology
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Humans
;
Meckel Diverticulum
;
diagnosis
;
physiopathology
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Pancreas
;
pathology
5.Tuberculous abdominal aortic aneurysm with alimentary tract hemorrhage: a case report with medico-legal implications.
Dan XIE ; Kai XIE ; Pei LI ; Yu-Long PENG ; Xiang YANG ; Li-Ying YANG ; Ji-Feng CAI
Journal of Forensic Medicine 2014;30(2):151-153
An autopsy case of sudden death induced by alimentary tract hemorrhage was presented, which was caused by the unexpected rupture of clinically unrecognized tuberculous abdominal aortic aneurysm (TAAA). The initial diagnosis was made of the syndrome of coronary heart disease and hypertensive disease. The detailed autopsy showed that the alimentary tract hemorrhage was caused by a sudden rupture of the mass after posture changing was ascertained as the cause of death. The diagnosis of TAAA was determined by the autopsy findings. Analysis for the medical dispute of TAAA was described, and the difficulty of the diagnosis and medico-legal implications were also discussed.
Aneurysm, Ruptured/diagnosis*
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Aortic Aneurysm, Abdominal/diagnosis*
;
Autopsy
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Death, Sudden
;
Hemorrhage/etiology*
;
Humans
;
Tuberculosis/diagnosis*
7.A case of infant vitamin K deficiency first diagnosed at the Stomatology Department.
Wen-Hua RUAN ; Ji-Mei SU ; Xiao-Wei YE ; Jin-Tui LOU
Journal of Zhejiang University. Medical sciences 2007;36(2):129-129
Hemorrhage
;
etiology
;
Humans
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Infant
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Male
;
Mouth Diseases
;
etiology
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Vitamin K Deficiency
;
complications
;
diagnosis
9.A Case of Mallory-Weiss Syndrome Complicating Pregnancy in a Patient with Scleroderma.
Kyu Hyun CHO ; Seong Wook HEO ; Seung Hie CHUNG ; Chae Gi KIM ; Ho Gak KIM ; Jung Yoon CHOE
The Korean Journal of Internal Medicine 2003;18(4):238-240
The majority of patients with scleroderma have gastrointestinal involvement, and a few experience gastrointestinal hemorrhage, however, gastrointestinal hemorrhage due to Mallory-Weiss syndrome is very rare. We report upon a 24-year-old pregnant woman with scleroderma who had gastrointestinal hemorrhage due to Mallory-Weiss syndrome.
Adult
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Female
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Gastrointestinal Hemorrhage/diagnosis/*etiology
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Human
;
Mallory-Weiss Syndrome/*diagnosis/*etiology
;
Pregnancy
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Pregnancy Complications/*diagnosis
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Scleroderma, Systemic/*complications
10.A Case of Inflammatory Fibroid Polyp Presenting with Jejunal Bleeding.
Man Keun HWANG ; Jung Hun KIM ; Sang Won PARK ; Jae Bum PARK ; Chang Ik LEE ; Chang Gu LEE ; Jin Kwan LEE
The Korean Journal of Gastroenterology 2003;42(4):337-340
Inflammatory fibroid polyp occurs very rarely in the jejunum and gastrointestinal bleeding as an initial manifestation of inflammatory fibroid polyp has not been reported. We report a case of a jejunal inflammatory fibroid polyp presenting with melena for 10 days. Upper gastrointestinal endoscopic examination was negative for any active bleeding lesions and abdominal angiography failed to localize the bleeding site as well. In contrast, computed tomography of the abdomen demonstrated a segmental wall thickening of the jejunum with a tumor-like mass lesion associated with dense contrast enhancement. Consistent with this, technetium 99m red blood cells scintigraphy exhibited red cell pooling at the right upper quadrant. On exploratory laparotomy, there was an active bleeding from the site of the jejunal tumor and a segmental resection was performed. Histologically, the tumor lesion of the jejunum was consistent with inflammatory fibroid polyp. Thus, we conclude that the tumor lesion was a cause of the gastrointestinal bleeding.
Adult
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Gastrointestinal Hemorrhage/*etiology
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Humans
;
Intestinal Polyps/diagnosis/*pathology
;
Jejunal Diseases/diagnosis/*pathology
;
Male