Year 2023 / Volume 115 / Number 10
Letter
A female with recurrent gastrointestinal bleeding: an obscure diminutive lesion requiring a massive blood transfusion

590

DOI: 10.17235/reed.2023.9853/2023

Lingyu Huang, Lixiao Hao, Xiaoying Lou, Yi Lu,

Abstract
Obscure gastrointestinal bleeding (OGIB) is bleeding of unknown origin after a negative initial or primary colonoscopy and upper endoscopy result. Small bowel bleeding accounts for 5% of GI bleeding but it is the most prominent cause of OGIB. We present a case with an obscure diminutive polypoid vascular anomaly of small intestine. In this case, intraoperative enteroscopy seems to be the last trump card for OGIB, especially for large amount loss of blood. It not only helped to find the obscure cause for bleeding, but also preserved the small intestine.
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References
[1]. Gerson, L.B., et al., ACG Clinical Guideline: Diagnosis and Management of Small Bowel Bleeding. Am J Gastroenterol, 2015. 110(9): p. 1265-87; quiz 1288.
[2]. Kunimoto, K., Y. Yamamoto and M. Jinnin, ISSVA Classification of Vascular Anomalies and Molecular Biology. Int J Mol Sci, 2022. 23(4).
[3]. Gomes, C., et al., Timing of enteroscopy in overt-obscure gastrointestinal bleeding: a systematic review and meta-analysis. Rev Esp Enferm Dig, 2021. 113(9): p. 656-669.
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Huang L, Hao L, Lou X, Lu Y. A female with recurrent gastrointestinal bleeding: an obscure diminutive lesion requiring a massive blood transfusion. 9853/2023


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Publication history

Received: 18/07/2023

Accepted: 25/07/2023

Online First: 04/08/2023

Published: 09/10/2023

Article Online First time: 17 days

Article editing time: 83 days


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