RESUMO
Severe bleeding requiring blood transfusions following endoscopic, percutaneous gastrostomy tube placement is a rare complication. We describe a case of severe recurrent haemorrhage with bright red blood from rectum from endoscopic, percutaneous gastrostomy tube placement, which ultimately required removal of the percutaneous endoscopic gastrostomy tube.
Assuntos
Hemorragia Gastrointestinal/etiologia , Gastrostomia/instrumentação , Intubação Gastrointestinal/efeitos adversos , Pneumonia Aspirativa/terapia , Idoso de 80 Anos ou mais , Transtornos de Deglutição , Endoscopia Gastrointestinal , Humanos , Doença Iatrogênica , Masculino , Resultado do TratamentoRESUMO
In conjunction with BMJ Case Reports, DTB will feature occasional drug-related cases that are likely to be of interest to readers. These will include cases that involve recently marketed drugs for which there is limited knowledge of adverse effects and cases that highlight unusual reactions to drugs that have been marketed for several years.
Assuntos
Angioedema/diagnóstico , Anti-Hipertensivos/efeitos adversos , Hipertensão , Doenças do Íleo/diagnóstico , Lisinopril/efeitos adversos , Insuficiência Renal Crônica , Dor Abdominal/etiologia , Adulto , Angioedema/induzido quimicamente , Angioedema/diagnóstico por imagem , Diagnóstico Diferencial , Humanos , Doenças do Íleo/induzido quimicamente , Doenças do Íleo/diagnóstico por imagem , Masculino , Tomografia Computadorizada por Raios XAssuntos
Angioedema/induzido quimicamente , Inibidores da Enzima Conversora de Angiotensina/efeitos adversos , Intestino Delgado/diagnóstico por imagem , Lisinopril/efeitos adversos , Tomografia Computadorizada por Raios X/métodos , Adulto , Inibidores da Enzima Conversora de Angiotensina/administração & dosagem , Humanos , Intestino Delgado/patologia , Lisinopril/administração & dosagem , MasculinoRESUMO
A Dieulafoy's lesion is defined as a dilated, aberrant, submucosal artery that erodes overlying mucosa in the absence of an underlying ulcer, aneurysm or intrinsic mural abnormality. It is a rare cause of upper gastrointestinal (GI) bleed with a very high mortality rate if it goes unidentified. It is most commonly located in the lesser curvature of the stomach but is extremely rare in the oesophagus. We are reporting a 55-year-old man who had massive haematemesis. Emergent endoscopy showed Dieulafoy's lesion in the distal oesophagus. It was sclerosed using endoscopic therapy. Patient's symptoms of GI bleeding resolved, and he was discharged home in a stable manner. Although a Dieulafoy's lesion is exceedingly rare in the oesophagus, it is associated with a high mortality if undiscovered. Its amenability to life-saving endoscopic therapy prompts us to keep this as a possible differential diagnosis of an upper GI bleed.