CASE: Massive lower GI bleed in CRF, Stercoral ulcers^-www.drkeyurbhatt.in*

Thursday, May 31, 2012

CASE: Massive lower GI bleed in CRF, Stercoral ulcers^-www.drkeyurbhatt.in*

Middle aged male with DM, HTN, CRF, on dialysis
had massive LOWER GI bleed,
h/o chronic constipation present.

COLONOSCOPY s/o large stercoral ulcers in entire rectum with profuse continues bleeding..and active spurting..

multiple sessions of endoscopy was done..over 3-4 days period., with more than 2 transfusion requirement of PCV per day..with all local, systemic measures applied, but bleeding was not controlled

Ultimately patient was taken up for rescue surgery: APR, With permanent colostomy.