Erschienen in:
01.11.2008 | Case Report
Multiple Stomas for Recurrent Life-Threatening Gastrointestinal Bleeding: Report of a Case
verfasst von:
Jérémie H. Lefevre, M.D., Yann Parc, Ph.D., M.D., Malika Bennis, M.D., Nicolas Carbonnel, M.D., Najat Mourra, M.D., Emmanuel Tiret, M.D., Rolland Parc, M.D.
Erschienen in:
Diseases of the Colon & Rectum
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Ausgabe 11/2008
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Abstract
Acute lower gastrointestinal hemorrhage is an uncommon and severe symptom. The overall mortality rate ranges from 5 to 12 percent and can approach 40 percent for persistent or recurring bleedings. We report a case of a patient with severe recurrent lower bleeding in whom, despite several repeated explorations and a blind subtotal colectomy, no lesion could be found. Multiple (n = 4) leveled stomas of the small bowel with succus entericus reinfusion were required to localize and treat the cause of the bleeding. This case report is followed by a review of the literature of the management of lower gastrointestinal bleeding.