RESUMO
Endoscopic laser therapy may be useful in controlling upper gastrointestinal bleeding due to vascular abnormalities. This report presents the case of an 11-year-old boy with an unusual vasculocutaneous disorder complicated by chronic recurrent bleeding that necessitated frequent blood transfusions. Of a number of investigative tests, only endoscopy was diagnostic in determining that the bleeding was secondary to multiple gastric vascular lesions. Moreover, laser photocoagulation of the identified lesions resulted in a dramatic decrease in both transfusion requirements and hospitalization.
Assuntos
Hemorragia Gastrointestinal/cirurgia , Fotocoagulação , Gastropatias/cirurgia , Telangiectasia/congênito , Criança , Hemorragia Gastrointestinal/etiologia , Gastroscopia , Humanos , Masculino , Recidiva , Gastropatias/etiologia , Telangiectasia/complicações , Telangiectasia/cirurgiaRESUMO
Severe intoxication from excessive acetaminophen without suicidal intent occurred in three patients, all alcohol abusers, one with evidence of underlying cirrhosis. Apparently, acetaminophen toxicity may be enhanced by alcohol.
