An unpredictable gastrointestinal bleed
Rev. esp. enferm. dig
; 116(4): 226-227, 2024. ilus
Artigo
em Inglês
| IBECS
| ID: ibc-232471
Biblioteca responsável:
ES1.1
Localização: ES15.1 - BNCS
ABSTRACT
A 65-year-old male complained of persistent melena for 6 days, and displayed anemia symptoms without hematemesis, vomiting, and abdominal distention. He was diagnosed as ruptured aneurysm of aortic sinus Valsalva, and had received coronary artery occlusion 1 month ago. After the operation, he was continually prescribed clopidogrel 75 mg once daily. The laboratory examination showed blood hemoglobin concentration was 60 g/L without other conspicuous abnormality. Unfortunately, neither esophagogastroduodenoscopy (EGD) nor colonoscopy found no obvious bleeding lesions. And abdominal computed tomography angiography (CTA) and enhanced computed tomography (CT) showed no obvious abnormal findings. Moreover, capsule endoscopy revealed small intestinal with mucosal erosion (Figure 1A). After discontinued clopidogrel, blood transfusion, and support therapy, his symptoms was resolved with negative fecal occult blood, continued clopidogrel 75 mg once daily, and uneventfully discharged 1 week later. (AU)
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Bases de dados nacionais
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Espanha
Base de dados:
IBECS
Assunto principal:
Malformações Arteriovenosas
/
Gastroenteropatias
/
Hemorragia
Limite:
Idoso
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Rev. esp. enferm. dig
Ano de publicação:
2024
Tipo de documento:
Artigo
Instituição/País de afiliação:
Shenzhen Peoples Hospital/China