ABSTRACT
We describe an elderly patient with generalized atherosclerosis who presented with recurrent iron-deficiency anaemia. He underwent right hemicolectomy which revealed ischaemic colonic ulceration caused by cholesterol embolism. Surgery appeared to be curative. Cholesterol embolism should be considered as a possible cause of unexplained gastrointestinal blood loss in the elderly.
Subject(s)
Anemia, Hypochromic/etiology , Cholesterol , Colonic Diseases/complications , Embolism, Fat/complications , Aged , Aged, 80 and over , Arterioles/chemistry , Colon/blood supply , Humans , Ischemia/complications , Male , Recurrence , Ulcer/complicationsSubject(s)
Colon , Foreign Bodies , Mercury Poisoning , Stomach , Colon/diagnostic imaging , Colon/surgery , Female , Foreign Bodies/complications , Foreign Bodies/diagnostic imaging , Foreign Bodies/surgery , Humans , Infant , Mercury Poisoning/diagnosis , Mercury Poisoning/etiology , Mercury Poisoning/therapy , Radiography , Stomach/diagnostic imaging , Stomach/surgerySubject(s)
Colectomy , Colonic Diseases/surgery , Perineum/surgery , Rectum/surgery , Wound Healing , Adolescent , Adult , Aged , Colitis, Ulcerative/surgery , Crohn Disease/surgery , Female , Humans , Male , Middle Aged , Surgical Wound Infection/etiology , Suture TechniquesSubject(s)
Abdomen , Abscess/etiology , Colectomy/adverse effects , Colitis, Ulcerative/surgery , Adult , Female , Humans , MaleSubject(s)
Duodenal Ulcer/complications , Peptic Ulcer Hemorrhage/surgery , Child, Preschool , Humans , Male , Pylorus/surgery , VagotomyABSTRACT
A case is described of a 19-month-old boy who presented with melaena. Intestinal duplication was diagnosed by 99Tcm-pertechnetate scanning and was confirmed at operation 2 years later, when the child was admitted with intestinal perforation. The technique is a reliable, non-invasive method for diagnosing ectopic gastric mucosa and is recommended in all cases of unexplained rectal bleeding in children.
