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A lower gastrointestinal bleeding in a haemodialysis patient as a potential precursor of small bowel ischaemia

Journal Volume 87 - 2024
Issue Fasc.1 - Clinical images
Author(s) K. Ferdinande 1, D. Tate 1, D. De Looze 1
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Full Article
PAGES 54-55
(1) Department of Gastroenterology and Hepatology, Ghent University Hospital, Ghent, Belgium

A 77-year-old man presented with anorexia, nausea, vomiting and bloody diarrhoea. The patient had a past medical history of heart transplantation, multiple myeloma and chronic kidney disease (CKD) requiring haemodialysis. Clinical examination revealed a diffusely tender abdomen. His vital signs included a low blood pressure of 80/55 mmHg, tachycardia of 112 bpm, normothermia (36.2°C) and a SpO2 of 97% when breathing room air. Laboratory studies were significant for haemoglobin 13 g/dL (16 g/dL a few days earlier), CRP 179,8 mg/L, leukocyte count 13,75 x10E3/μL, lactate 4,46 mmol/L and known CKD. A multiphasic contrast-enhanced abdominal computed tomography did not show any acute pathology, nor vascular contrast extravasation.

The authors declare that they have no conflict of interest.
© Acta Gastro-Enterologica Belgica.
PMID 38431794