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[MASSIVE RECTORRHAGIA MIMICKING POSSIBLE GENITAL HAEMORRHAGE].

J Čerkez Habek, D Habek

Acta Medica Croatica : Casopis Hravatske Akademije Medicinskih Znanosti

|November 1, 2017

Summary

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Massive rectorrhagia, initially mistaken for genital hemorrhage, led to a fatal outcome. Autopsy revealed a ruptured rectal angiodysplasia as the cause of irreversible hemorrhagic shock.

Area of Science:

Gastroenterology
Vascular Medicine
Pathology

Background:

Massive lower gastrointestinal bleeding can present diagnostic challenges.
Genital hemorrhage and rectorrhagia share some initial clinical similarities.

Observation:

A 76-year-old female presented with symptoms suggestive of massive genital hemorrhage.
Initial assessment and subsequent examination revealed the bleeding originated from the rectum.

Findings:

The patient experienced irreversible hemorrhagic shock.
Autopsy confirmed a ruptured rectal angiodysplasia as the source of massive rectorrhagia.

Implications:

This case highlights the critical importance of accurate diagnosis in massive lower gastrointestinal bleeding.

Related Experiment Videos

Rectal angiodysplasia should be considered in cases of severe rectal bleeding, even when genital sources are initially suspected.

Prompt and correct identification of the bleeding source is vital for patient survival.