MARVIN GOLDBERG, M.D.; GEORGE C. HOFFMAN, M.D.; DUANE G. WOMBOLT, M.D.
This content is PDF only. Please click on the PDF icon to access.
Massive lower gastrointestinal hemorrhage from rectal ulcers is unusual and frequently presents a difficult diagnostic challenge. Acute renal hemorrhage is usually associated with either arteriovenous malformation or diverticulosis, but is seen more rarely after rectal trauma, stercol ulceration, ulcerative colitis, and Crohn's disease (1, 2). Simple diagnostic maneuvers, such as sigmoidoscopy, to localize the point of bleeding are extremely important but frequently difficult because of the massive amount of blood in the rectum. Great care must be taken to clear all the blood and clots from the rectum so that all the rectal mucosa can be adequately visualized.
GOLDBERG M, HOFFMAN GC, WOMBOLT DG. Massive Hemorrhage from Rectal Ulcers in Chronic Renal Failure. Ann Intern Med. 1984;100:397. doi: 10.7326/0003-4819-100-3-397
Download citation file:
Published: Ann Intern Med. 1984;100(3):397.
Chronic Kidney Disease, Nephrology.
Results provided by:
Copyright © 2019 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use