Complicated Cases in GI

Anthony Kalloo, MD; Jonathan M. Buscaglia, MD

Chapter 16: A Rare Cause Of Gastrointestinalbleeding In An Adult (continued)

Jonathan Buscaglia, MD

A 41-year-old man presented with a brief history of hematochezia. Symptoms began 3 days prior to admission and were associated with diaphoresis and near syncope. Upon arrival, his hemoglobin level was 4.3 g/dL (normal range, 13.9 to 16.3), and he was transfused a total of 8 units of blood. Physical examination was unremarkable except for tachycardia and postural hypotension. Initial colonoscopy revealed a large amount of blood throughout the entire colon without active bleeding. The terminal ileum (TI) was not intubated due to poor visualization. Esophagogastroduodenoscopy (EGD) and push…