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Dutta G, Panda M. An uncommon cause of lower gastrointestinal bleeding: a case report. Cases J. 2008;1(1):235doi: 10.1186/1757-1626-1-235.
Dutta, G., & Panda, M. (2008). An uncommon cause of lower gastrointestinal bleeding: a case report. Cases journal, 1(1), 235. https://doi.org/10.1186/1757-1626-1-235
Dutta, Gautam, and Panda, Mukta. "An uncommon cause of lower gastrointestinal bleeding: a case report." Cases journal vol. 1,1 (2008): 235. doi: https://doi.org/10.1186/1757-1626-1-235
Dutta G, Panda M. An uncommon cause of lower gastrointestinal bleeding: a case report. Cases J. 2008 Oct 13;1(1):235. doi: 10.1186/1757-1626-1-235. PMID: 18851756; PMCID: PMC2577108.
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Cases J. 2008 Oct 13;1(1):235. doi: 10.1186/1757-1626-1-235.

An uncommon cause of lower gastrointestinal bleeding: a case report.

Cases journal

Gautam Dutta, Mukta Panda

Affiliations

  1. Department of Internal Medicine, University of Tennessee, College of Medicine, Chattanooga, 960 East Third Street, Suite 208, TN 37403, USA. [email protected].

PMID: 18851756 PMCID: PMC2577108 DOI: 10.1186/1757-1626-1-235

Abstract

BACKGROUND: This report calls attention to severe gastrointestinal hemorrhage as a manifestation of small bowel carcinod tumor.

PATIENT: We report a case of an adult in his 5th decade presenting with massive melena.

INTERVENTIONS: On presentation the patient was tachycardic (pulse115/min), and hypotensive (BP 80/55 mmHg). His complete physical examination was unremarkable. Rectal exam showed frank blood. Nasogastric lavage produced greenish fluid with no blood. His hemoglobin was 8.1 gm/dl and hematocrit was 25.1%. Panendoscopy revealed an ileal bleeding mass. Interestingly a colonoscopy done 6 months earlier for anemia workup was normal. Emergent laparotomy revealed numerous smaller intraluminal nodules scattered throughout the small bowel.

RESULTS: Histopathology revealed carcinoid tumor.

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