unique case of upper and lower Gi bleeding in a cirrhotic patient

ABSTRACT

Introduction: Cirrhotic patients are at a heightened risk for surgical and anesthesia related complications and particularly, these complications depend on the severity of liver dysfunction. Gastroenterologists are often very hesitant to perform invasive procedures because of bleeding and decompensation of the liver disease which are encountered in the postprocedural phase. However in certain situations, it is imperative to perform high risk procedures to prevent exsanguination. This case represents such a rare challenging situation when a patient presented with hematochezia and melena for the first time and was detected to be harbouring chronic liver disease complicated with large rectal polyp, Grade 3 esophageal varices and mesenteric cyst. The histopathology of the polyp showed colitis cystica profunda which is another unique feature