A 54-year-old woman presented a massive hematochezia 7 days after sigmoidectomy. Repeated colonoscopy and angiography failed to locate the site of bleeding and Hartman's operation was performed. Rebleeding from the rectum on the day of operation occurred and pulsate arterial bleeding with minimal surrounding ulcer 1 cm above the pectinate line was observed. Screlotherapy with ethanol and electro coagulation was successfully performed to achieve permanent hemostasis. The importance of detailed rectal examination and an awareness of this clinical entity in life-threatening lower intestinal bleeding is discussed.
|Number of pages||3|
|Journal||Acta medica Okayama|
|Publication status||Published - Dec 1 2000|
- Dieulafoy's ulcer
- Endoscopic sclerotherapy
ASJC Scopus subject areas
- Biochemistry, Genetics and Molecular Biology(all)