Multiple stomas for recurrent life-threatening gastrointestinal bleeding: report of a case

Dis Colon Rectum. 2008 Nov;51(11):1714-8. doi: 10.1007/s10350-008-9220-9. Epub 2008 Feb 28.

Abstract

Acute lower gastrointestinal hemorrhage is an uncommon and severe symptom. The overall mortality rate ranges from 5 to 12 percent and can approach 40 percent for persistent or recurring bleedings. We report a case of a patient with severe recurrent lower bleeding in whom, despite several repeated explorations and a blind subtotal colectomy, no lesion could be found. Multiple (n = 4) leveled stomas of the small bowel with succus entericus reinfusion were required to localize and treat the cause of the bleeding. This case report is followed by a review of the literature of the management of lower gastrointestinal bleeding.

Publication types

  • Case Reports

MeSH terms

  • Duodenal Ulcer / complications
  • Duodenal Ulcer / diagnosis*
  • Duodenal Ulcer / therapy*
  • Humans
  • Male
  • Middle Aged
  • Peptic Ulcer Hemorrhage / diagnosis
  • Peptic Ulcer Hemorrhage / etiology*
  • Peptic Ulcer Hemorrhage / therapy*
  • Recurrence
  • Surgical Stomas*