Accordingly, the patient was admitted to the hospital with prolonged black stools, severe anemia, physical exhaustion and reduced overall mobility. Initially, the results of gastric and colon endoscopy did not show a clear location of bleeding.
However, the amount of molecules in red blood cells (hemoglobin) continues to decrease rapidly, warning of a dangerous gastrointestinal bleeding that is silently progressing, most likely from the small intestine - the place known as the "dark area" of digestion, the most difficult to access and diagnose in medicine.
Immediately, interdisciplinary doctors from Gastroenterology, Gastroenterology Endoscopy, DSA Imaging, Anesthesia and Resuscitation, and General Surgery at People's Hospital 115 held an emergency consultation and performed emergency surgery.
During surgery, the doctor discovered a 5cm long segment of small intestine that was hard, suspected of being ulcerated, and had a 3cm large mesenteric lymph node.
Direct endoscopic technique during surgery helped to accurately determine the location of the ulcerative lesion, 2cm wide, thin bottom, bleeding - about 60cm from the ileocecal angle, with many scattered shallow ulcers on the surface, not bleeding.
The damaged bowel segment was removed and digestive circulation was safely re-established. After 48 hours post-operatively, the patient was awake, hemodynamically stable, had a soft abdomen, and could breathe on his own.
According to doctors at People's Hospital 115, gastrointestinal bleeding from the small intestine is a rare but dangerous cause, often overlooked due to its difficult-to-access anatomical features.
Common causes include: small bowel ulcers caused by medications (NSAIDs), angiomas, Crohn's disease, tumors, or vascular malformations.
Source: https://www.sggp.org.vn/cuu-song-nguoi-benh-xuat-huyet-ruot-non-nguy-kich-post803682.html
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