Complicated Cases in GI

Anthony Kalloo, MD; Jonathan M. Buscaglia, MD

Chapter 31: Rectal Bleeding Following Craniotomy (continued)

Karen Krok, MD

A 77-year-old woman was admitted to the neurosurgery service 1 month after having a resection of a craniopharyngioma. New seizure activity, fever, and hypernatremia precipitated her readmission. During her hospitalization she was noted to have bright red blood per rectum with a negative nasogastric lavage. She became hypotensive and hypothermic and required transfer to an intensive care unit. Past medical history was significant for hypertension, diabetes mellitus, and constipation-predominant irritable bowel syndrome with a recent colonoscopy reported as normal. Recently she had experienced…
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