Clinical Case Database / Category: Patient Management

Ischaemic Colitis & Bleeding per Rectum - A Surgical Emergency

Publication details

Mr Niraj Khetan, Astha Das, SS Prasad, Yesar El-Dhuwaib
Foundation Years Journal, volume 9, issue 7, p.17 (123Doc Education, London, July 2015)

Abstract

Gastrointestinal bleeding (GI) is a common emergency presentation to hospitals. It accounts for about 1% to 2% of all emergency admissions. It is classified into upper and lower GI bleeding and the ligament of Treitz is traditionally considered the dividing point between the two. Any bleeding distal to its insertion (Duodeno-Jejunal flexure) is considered lower GI bleeding. Presenting history plays an important part in diagnosis and treatment plan. The authors present a 63 years old male patient with lower GI bleeding and abdominal pain due to ischaemic colitis. The article discusses the causes, investigation and management of lower GI bleed with focus on ischaemic colitis.

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Authors

Mr Niraj Khetan (Corresponding author)

Doncaster and Bassetlaw Hospitals NHS foundation Trust
Armthorpe Road, Doncaster, South Yorkshire DN2 5LT
Niraj.Khetan@dbh.nhs.uk

Astha Das

Doncaster and Bassetlaw Hospitals NHS foundation Trust
Armthorpe Road, Doncaster, South Yorkshire, DN2 5LT
astha.das@dbh.nhs.uk

SS Prasad

Doncaster and Bassetlaw Hospitals NHS foundation Trust
Armthorpe Road, Doncaster, South Yorkshire, DN2 5LT
drprasadss@gmail.com

Yesar El-Dhuwaib

Doncaster and Bassetlaw Hospitals NHS foundation Trust
Armthorpe Road, Doncaster, South Yorkshire, DN2 5LT
yesar@doctors.org.uk

References

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T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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