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Multiple stomas for recurrent life-threatening gastrointestinal bleeding: report of a case
Jérémie H Lefevre1, Yann Parc, Malika Bennis
1Department of Digestive Surgery, Hospital Saint-Antoine AP-HP, Paris, University Paris VI (Pierre and Marie Curie), Paris, France. jeremie.lefevre@sat.aphp.fr
Abstract:
Acute lower gastrointestinal hemorrhage is an uncommon and severe symptom. The overall mortality rate ranges from 5 to 12 percent and can approach 40 percent for persistent or recurring bleedings. We report a case of a patient with severe recurrent lower bleeding in whom, despite several repeated explorations and a blind subtotal colectomy, no lesion could be found. Multiple (n = 4) leveled stomas of the small bowel with succus entericus reinfusion were required to localize and treat the cause of the bleeding. This case report is followed by a review of the literature of the management of lower gastrointestinal bleeding.
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