Hassranah Samara, Maharajh Sandeep, Solomon Sanjeev, Naraynsingh Vijay
Surgery, Medical Associates Hospital, St. Joseph, TTO.
Gastroenterology, Medical Associates Hospital, St. Joseph, TTO.
Cureus. 2022 Jul 18;14(7):e26963. doi: 10.7759/cureus.26963. eCollection 2022 Jul.
Massive lower gastrointestinal (GI) bleeding from stercoral ulcers is exceedingly rare. We report a case of a middle-aged man who presented with progressively deteriorating neurologic function with constipation and subsequent massive GI bleeding per rectum. While an uncommon cause of GI bleeding, such patients require rapid resuscitation and timely diagnosis of these ulcers since the usual management of such cases will be futile and harmful due to potentially inappropriate surgical bowel resection.
因粪性溃疡导致的大量下消化道出血极为罕见。我们报告一例中年男性病例,该患者因便秘出现神经功能逐渐恶化,随后出现经直肠大量消化道出血。虽然消化道出血的这种病因并不常见,但此类患者需要迅速复苏并及时诊断这些溃疡,因为对此类病例进行常规处理可能因不恰当的肠道手术切除而徒劳无功且有害。