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Massive Rectal Hemorrhage From a Stercoral Ulcer
Samara Hassranah1, Sandeep Maharajh1, Sanjeev Solomon2
1Surgery, Medical Associates Hospital, St. Joseph, TTO.
Cureus
|August 22, 2022
Summary
Massive lower gastrointestinal bleeding from stercoral ulcers is rare. Prompt diagnosis is crucial to avoid harmful interventions for this uncommon cause of severe rectal bleeding.
Area of Science:
- Gastroenterology
- Colorectal Surgery
Background:
- Stercoral ulcers are a rare cause of lower gastrointestinal bleeding.
- Massive bleeding from these ulcers is exceptionally uncommon.
Observation:
- A middle-aged man presented with neurological decline, constipation, and severe rectal bleeding.
- The patient's symptoms indicated a critical gastrointestinal event.
Findings:
- The case highlights massive lower gastrointestinal bleeding originating from stercoral ulcers.
- This represents an unusual etiology for significant rectal hemorrhage.
Implications:
- Rapid resuscitation and accurate diagnosis are vital for effective management.
- Avoidance of unnecessary surgical bowel resection is critical to prevent harm in these patients.
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