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[Benign colonic ulcer. Case report and differential diagnosis]
1Medizinische Klinik des Krankenhauses, Nordwest, Frankfurt/M.
Summary
Benign colonic ulcers are uncommon causes of rectal bleeding. This case report details a woman with NSAID-induced cecal ulcers causing significant bleeding, highlighting diagnostic considerations for colonic ulcers.
Area of Science:
- Gastroenterology
- Colorectal Surgery
Background:
- Benign ulcers in the colon are rare causes of significant colorectal bleeding.
- Nonsteroidal anti-inflammatory drugs (NSAIDs) are a potential etiology for gastrointestinal ulceration.
Observation:
- This case report presents a woman with recurrent episodes of severe rectal bleeding.
- The bleeding originated from a nonsteroidal anti-inflammatory drug (NSAID)-induced ulcer located in the caecum.
Findings:
- The caecal ulcer was identified as the source of the patient's colorectal hemorrhage.
- Diagnostic evaluation included assessment for other potential causes of colonic ulceration.
Implications:
- This case underscores the importance of considering NSAID-induced colonic ulcers in the differential diagnosis of obscure lower GI bleeding.
- Awareness of this rare entity can aid clinicians in timely diagnosis and management, potentially preventing complications associated with undiagnosed bleeding sources.