A lower gastrointestinal bleeding in a haemodialysis patient as a potential precursor of small bowel ischaemia
Journal | Volume 87 - 2024 |
Issue | Fasc.1 - Clinical images |
Author(s) | K. Ferdinande 1, D. Tate 1, D. De Looze 1 |
Full article |
PAGES 54-55 VIEW FREE PDF |
DOI | 10.51821/87.1.12315 |
Affiliations: (1) Department of Gastroenterology and Hepatology, Ghent University Hospital, Ghent, Belgium
|
A 77-year-old man presented with anorexia, nausea, vomiting and bloody diarrhoea. The patient had a past medical history of heart transplantation, multiple myeloma and chronic kidney disease (CKD) requiring haemodialysis. Clinical examination revealed a diffusely tender abdomen. His vital signs included a low blood pressure of 80/55 mmHg, tachycardia of 112 bpm, normothermia (36.2°C) and a SpO2 of 97% when breathing room air. Laboratory studies were significant for haemoglobin 13 g/dL (16 g/dL a few days earlier), CRP 179,8 mg/L, leukocyte count 13,75 x10E3/μL, lactate 4,46 mmol/L and known CKD. A multiphasic contrast-enhanced abdominal computed tomography did not show any acute pathology, nor vascular contrast extravasation. |
The authors declare that they have no conflict of interest. |
© Acta Gastro-Enterologica Belgica. PMID 38431794 |