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Updated: Oct 6, 2026

Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
[Ulcer of the colon and Mallory-Weiss syndrome (author's transl)]
Insights
A 71-year-old man experienced upper and lower gastrointestinal bleeding. Endoscopy revealed a Mallory-Weiss tear, while a left colic lesion was diagnosed as ischemic colitis, highlighting diagnostic methods for colon lesions.
Area of Science:
- Gastroenterology
- Diagnostic Imaging
Background:
- Gastrointestinal hemorrhage can originate from various sources, necessitating accurate diagnosis.
- Mallory-Weiss syndrome is a common cause of upper gastrointestinal bleeding.
- Ischemic colitis presents a diagnostic challenge in the lower gastrointestinal tract.
Observation:
- A 71-year-old male presented with both upper and lower gastrointestinal bleeding without signs of shock.
- Esophagogastroduodenoscopy identified a laceration of the gastric cardia, consistent with Mallory-Weiss syndrome.
- The lower gastrointestinal hemorrhage was linked to a lesion in the left colon, suspected to be ischemic colitis.
Findings:
- Endoscopy is crucial for diagnosing upper gastrointestinal lesions like Mallory-Weiss syndrome.
- Colonoscopy and barium enema are valuable tools for differentiating colonic lesions, including ischemic colitis.
- The combined diagnostic approach facilitated the identification of the bleeding sources.
Implications:
- Accurate differentiation of upper and lower GI bleeding sources is essential for appropriate management.
- Utilizing endoscopic and imaging techniques aids in diagnosing complex cases of gastrointestinal bleeding.
- This case underscores the importance of a comprehensive diagnostic strategy for patients with obscure GI bleeding.
Abstract:
A 71 year old man presents with a high and low hemorrhage with no signs of associated shock. Endoscopy shows a laceration of the cardia (Mallory-Weiss syndrome). The low hemorrhage is attributed to a left colic lesion that appears to be an ischemic colitis. Colonoscopy in addition to baryum enema is useful in the differential diagnosis of colon lesions.
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