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Case Report

A case of Crohn’s disease initially presenting with massive hematochezia

  • ZHANG Dongwei ,
  • YANG Changqing
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  • Department of Gastroenterology, Tongji Hospital Affiliated to Tongji University, Shanghai 200065, China

Received date: 2018-03-23

  Online published: 2019-12-16

Abstract

To investigate the strategy in the diagnosis and treatment of Crohn’s disease that represents lower gastrointestinal tract massive hemorrhage as the first symptom.A case of Crohn’s disease was retrospectively analyzed, combined with pertinent literature review.Blood transfusion, supportive therapy, and operation were administered to establish the final diagnosis of Crohn’s disease.The case analysis indicated that operation is valuable for treating Crohn’s disease in case that lower gastrointestinal tract massive hemorrhage is the first symptom and intestinal symptoms are atypical or absent.In order to prevent postoperative hemorrhage, biological agent is the first choice.

Cite this article

ZHANG Dongwei , YANG Changqing . A case of Crohn’s disease initially presenting with massive hematochezia[J]. Surgical Research and New Technique, 2018 , 7(3) : 211 -213 . DOI: 10.3969/j.issn.2095-378X.2018.03.016

References

[1] Li G, Ren J, Wang G, et al.Prevalence and risk factors of acute lower gastrointestinal bleeding in Crohn’s disease[J].Medicine (Baltimore), 2015, 94(19):804.
[2] Paragomi P, Moradi K, Khosravi P, et al.Severe lower gastrointestinal bleeding in a patient with Crohn’s disease:a case report and the review of literature[J].Acta Med Iran. 2015, 53(11):728-730.
[3] Peng QH, Wang YF, He MQ, et al.Clinical literature review of 1858 Crohn’s disease cases requiring surgery in China[J].World J Gastroenterol. 2015, 21(15):4735-43.
[4] 钱家鸣,吕红,李巍,等.克罗恩病的肠外表现和并发症[J].中华消化杂志, 2004,24(7):395-398.
[5] Kostka R, Lukas M.Massive, Life-threatening bleeding in Crohn’s disease[J].Acta Chir Belg, 2005, 105(4):168-174.
[6] Saperas E, Dot J, Videla S, et al.Capsule endoscopy versus computed tomographic or standard angiography for the diagnosis of obscure gastrointestinal bleeding[J].Am J Gastroenterol, 2007, 102(4):731-737.
[7] 智发朝,肖冰,姜泊,等.双气囊电子小肠镜在小肠出血诊断中的应用[J].中华消化内镜杂志, 2005,22 (1):19-21.
[8] 褚行琦,郑家驹,史肖华.Crohn 病急性下消化道大出血的诊断和治疗现状[J].中国急救医学, 2001,21(7):433.
[9] Botti F, Carrara A, Antonelli B, et al.The minimal bowel resection in Crohn’s disease:analysis of prognostic factors on the surgical recurrence[J].Ann Ital Chir, 2003, 74(6):627-633.
[10] Kim KJ, Han BJ, Yang SK, et al.Risk factors and outcome of acute severe lower gastrointestinal bleeding in Crohn’s disease[J].Dig Liver Dis, 2012, 44(9):723-728.
[11] Aniwan S, Eakpongpaisit S, Imraporn B, et al.Infliximab stopped severe gastrointestinal bleeding in Crohn’s disease[J].World J Gastroenterol. 2012, 18(21):2730-2734.
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