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[Exceptional etiologies in upper digestive tract bleeding ].

V Vilcea1, R Nemeş, I Georgescu

  • 1Clinica I Chirurgie, Spitalul Clinic nr. 1, Bd. Mareşal Antonescu nr. 60, Craiova 1100.

Chirurgia (Bucharest, Romania : 1990)
|May 7, 2003
PubMed
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This study highlights rare causes of upper gastrointestinal bleeding, including pancreatic pseudocysts, tumors, aneurysms, and fistulas. Preoperative diagnosis was challenging, necessitating emergency surgery for hemostasis.

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Vascular Surgery

Background:

  • Upper gastrointestinal bleeding (UGIB) is a common clinical problem.
  • Etiological diagnosis of UGIB is crucial for appropriate management.
  • Rare causes of UGIB can pose diagnostic challenges.

Observation:

  • Seven cases of UGIB with unusual etiologies were identified from 756 patients.
  • Causes included pancreatic pseudocyst with intracystic hemorrhage, non-epithelial gastroduodenal tumors, gastroduodenal artery aneurysm, and aortoduodenal fistula.
  • Preoperative etiological diagnosis was not achieved in any of these cases.

Findings:

  • All seven patients required surgical intervention due to severe bleeding.
  • The primary goal of surgery was hemostasis.

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  • The presented cases represent true etiological exceptions in UGIB.

    • Implications:

    • Highlights the importance of considering rare etiologies in refractory UGIB.
    • Emphasizes the limitations of preoperative diagnostic methods for certain UGIB causes.
    • Underscores the critical role of emergency surgery in managing life-threatening UGIB from unexpected sources.