A man with haematochezia and abdominal pain

A 83-year-old male was admitted to the Emergency Department with acute haematochezia and abdominal pain. At digital rectal examination multiple soft distensions were palpable. Sigmoidoscopy revealed ischaemia of the rectum with severe gangrene. The patient was discharged after fluid resuscitation. F...

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Bibliographic Details
Published inNederlands tijdschrift voor geneeskunde Vol. 159; p. A8634
Main Authors Aukema, Allard, van Soest, Ellert J
Format Journal Article
LanguageDutch
Published Netherlands 2015
Subjects
Abdominal Pain - diagnosis
Abdominal Pain - etiology
Aged, 80 and over
Fluid Therapy
Gangrene - complications
Gangrene - diagnosis
Gangrene - therapy
Gastrointestinal Hemorrhage - diagnosis
Gastrointestinal Hemorrhage - etiology
Humans
Ischemia - complications
Ischemia - diagnosis
Ischemia - therapy
Male
Physical Examination
Rectal Diseases - complications
Rectal Diseases - diagnosis
Rectal Diseases - therapy
Rectum - blood supply
Rectum - pathology
Sigmoidoscopy
Treatment Outcome
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Summary:A 83-year-old male was admitted to the Emergency Department with acute haematochezia and abdominal pain. At digital rectal examination multiple soft distensions were palpable. Sigmoidoscopy revealed ischaemia of the rectum with severe gangrene. The patient was discharged after fluid resuscitation. Follow-up sigmoidoscopy 4 weeks later showed a fully recovered rectum.
ISSN:0028-2162
1876-8784