Year 2015 / Volume 107 / Number 8
Digestive Diseases Image
Overt obscure gastrointestinal bleeding secondary to small bowel gastrointestinal stromal tumor diagnosed by videocapsule endoscopy

510-511

Gabriel Carrilero-Zaragoza, Guillermo Carbonell-López-del-Castillo, Gema Ruiz-García, Juan Egea-Valenzuela, Paula Tomas-Pujante, Elena Iglesias-Jorquera, Josefa Parra-García, Antonio Sánchez-Torres, Elena Navarro-Noguera, Esther Estrella-Díaz and Luis Fernando Carballo-álvarez

Abstract
An 82 year-old male was admitted to our hospital presenting rectal bleeding with hemodynamic and analytic compromise (hemo- globin: 7.3 g/dl). He had personal history of percutaneous closure of the left atrial appendage, severe pulmonary hypertension and was under double-antiaggregation therapy (triflusal and aspirin).
The patient required red blood cells transfusion and upper and lower emergency endoscopies were performed, not being able to find the bleeding lesion. As the origin of the hemorrhage was suspected in the small bowel, videocapsule endoscopy was performed in the following hours, observing a huge jejunal tumor with a big ulcer on its surface (Fig. 1).
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Gabriel Carrilero-Zaragoza, Guillermo Carbonell-López-del-Castillo, Gema Ruiz-García, Juan Egea-Valenzuela, Paula Tomas-Pujante, Elena Iglesias-Jorquera, Josefa Parra-García, Antonio Sánchez-Torres, Elena Navarro-Noguera, Esther Estrella-Díaz and Luis Fernando Carballo-álvarez. Overt obscure gastrointestinal bleeding secondary to small bowel gastrointestinal stromal tumor diagnosed by videocapsule endoscopy. 510-511


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