The Role of Timely Angiography in Elderly Patients Presenting With Lower Gastrointestinal Bleeding.

angiography embolization lower gastrointestinal tract lower gi bleed management

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
Oct 2023
Historique:
accepted: 26 10 2023
medline: 29 11 2023
pubmed: 29 11 2023
entrez: 29 11 2023
Statut: epublish

Résumé

Lower gastrointestinal bleeding (LGIB) is associated with significant morbidity and mortality in the elderly population. Timely diagnosis and establishing the etiology of the LGIB can guide appropriate treatment and management. Our patient is a 91-year-old female who presented to the ER with the complaint of several episodes of hematochezia that started four hours before her presentation. The patient underwent an urgent CT angiography showing active bleeding in the proximal ascending colon. She underwent a super-selective arteriogram followed by embolization of the ascending colon arterial culprit bleeding territory using two coils. Her clinical condition improved, and she had no further episodes of hematochezia. Her case highlights the importance of timely diagnosis of the underlying etiology of a patient presenting with LGIB.

Identifiants

pubmed: 38021564
doi: 10.7759/cureus.47701
pmc: PMC10674099
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e47701

Informations de copyright

Copyright © 2023, Ghazanfar et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Haider Ghazanfar (H)

Gastroenterology, BronxCare Health System, Bronx, USA.

Nismat Javed (N)

Internal Medicine, BronxCare Health System, Bronx, USA.

Bhavna Balar (B)

Gastroenterology, BronxCare Health System, Bronx, USA.

Classifications MeSH