Diagnostic Challenge and Interdisciplinary Management in Upper Gastrointestinal Bleeding of Uncommon Cause
DOI:
https://doi.org/10.52787/agl.v54i4.450Keywords:
Interdisciplinary management, upper gastrointestinal bleedingAbstract
A 38-year-old male patient with a history of severe smoking (24 packs/year) and alcoholism (approximately 40 grams/day), intravenous drug use, and two episodes of mild acute non-necrotizing pancreatitis, in which lithiasic pathology was ruled out and alcoholic etiology was assumed. She consulted for hematemesis, without hemodynamic decompensation. Laboratory results showed Ht of 16% and Hb of 4.1 gr/dl. Two units of red blood cells were transfused. The upper gastrointestinal video endoscopy (VEDA) showed a clear mucosal lake, without pathological findings. A computed tomography (CT) with multiplanar reconstruction was performed, followed by therapeutic mesenteric angiography (Figure 1).
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Copyright (c) 2024 Evelin Mariel Crocci, Sandra Basso, Analia Gubitosi, Cristina Nazar, Mauricio Paterno, Walter Fleitas Rumak, Natalia Zeytuntsian, Valeria Porto, María José Rohwain, María Paz Lacuadra, Silvina Goncalvez, Elisa Alvarinhas, Fabio Muñoz
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