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A 78-year-old woman with recurrent gastrointestinal bleeding after several intra-abdominal vascular operations

Article Abstract:

A 78-year-old woman was diagnosed with recurring gastrointestinal bleeding caused by the deterioration of a artificial blood vessel. The patient was admitted to the hospital after developing gastrointestinal bleeding. She had a 30-year history of blood vessel surgery to treat atherosclerosis, a disorder characterized by the accumulations of fat deposits in the walls of blood vessels. Five months before being admitted to the hospital, she had begun experiencing symptoms such as increasing fatigue and fainting spells. Despite treatment for a hernia and gastrointestinal bleeding, the bleeding recurred two months before her admission to the hospital. An angiographic study of her abdomen revealed a weakening in the wall of the abdominal aorta near the site of a blood vessel graft. Exploratory surgery revealed deterioration of the graft, which was removed.

Author: Brewster, David C., Cambria, Richard P.
Publisher: Massachusetts Medical Society
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 1992
Health aspects, Vascular grafts

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Case 33-2005: A 43-year old man with lower gastrointestinal bleeding

Article Abstract:

A case study of a 43-year old man who was admitted initially due to lower gastrointestinal bleeding, which further resulted in hemorrhagic telangiectasia, is presented. The experts recommend that the care of patients with hereditary hemorrhagic telangiectasia involve the prevention of complications from the arteriovenous malformations and management of gastrointestinal bleeding and epistaxis.

Author: Badizadegan, Kamran, Chung, Daniel C., Korzenik, Joshua, Digumarthy, Subba
Publisher: Massachusetts Medical Society
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 2005
United States, Telangiectasis

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A sharp right turn

Article Abstract:

The case study of a 60-year-old man presented to the emergency department for evaluation of rectal bleeding, syncope and pain in the right leg is illustrated. The perforations of the gastrointestinal tract by ingested toothpicks are rare, but this patient had a major arterial perforation complicated by sepsis and limb gangrene that eventually necessitated amputation.

Author: Flannery, Michael T., Mohanty, Anupam K., Johnson, Brad L., Brady, Patrick G.
Publisher: Massachusetts Medical Society
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 2006
Fainting, Sepsis, Case study

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Subjects list: Case studies, Gastrointestinal bleeding, Gastrointestinal hemorrhage
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