An unusual cause of acute lower gastrointestinal bleeding
| Journal | Volume 69 - 2006 |
| Issue | Fasc.2 - Case reports |
| Author(s) | J. Aberle, E. Kilic, S. Guth, J. Gille, L. Liebl, A.E. Guthoff |
| Full article |
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| (1) Zentrum für Innere Medizin ; (2) Institut für Pathologie ; (4) Klinik für Chirurgie, Universitätsklinikum Hamburg-Eppendorf and (3) Universitätsklinikum Schleswig- Holstein, Campus Lübeck. |
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A 45 year old male patient was referred to hospital after syn- cope during defaecation. Rapid peranal blood loss occurred shortly after admission. Gastroscopy and coloscopy performed as first line diagnostic measures failed to detect the source of haemorrhage. Ultrasound (US) revealed a hypoechoic and hyper- vascularized tumor mass in the right lower abdomen. A gastro- intestinal stromal tumor (GIST) of the jejunum was diagnosed after laparatomy. Collectively US should be among the first line diagnostic procedures in younger patients presenting with lower gastrointestinal haemorrhage. (Acta gastroenterol. belg., 2006, 69, 221-223). |
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