Management of Rare Case of Massive Bleeding from a Right-sided Colonic Diverticular Disease

  • Et-Tayab ouazzani General Surgery Department , Hassan II university Hospital , Fes ,Morocco, Visceral Surgery Department ,Robert Boulin Hospital , Libourne , France.
  • Younes Hamdouni General Surgery Department , Hassan II university Hospital , Fes ,Morocco
  • Jean-Bapstiste Griot Visceral Surgery Department ,Robert Boulin Hospital , Libourne , France.
  • Mathieu Martenot Visceral Surgery Department ,Robert Boulin Hospital , Libourne , France.
  • Thomas Paumet
Keywords: Massive bleeding, diverticular disease, surgical emergency

Abstract

Bleeding related to diverticular disease occurs in 10 to 30% of patients suffering from diverticular disease. The source is more frequently in the right colon. Typically, the bleeding is massive, with 15% of the patients admitted in shock [1]. We report a case of 70 year old man presented to the emergency department with sudden rectal bleeding in need of transfusion, just after two days of non steroidal anti-inflammatory auto medication for joint pain. The patient treated with oral anticoagulation for coronary artery disease. Laboratory findings revealed very low hemoglobin of 5,1 g/dl when the patient presented at hospital. The esophagogastroduodenoscopy was normal. An abdominal computed tomography (CT) revealed contrast extravasation in the ascending colon from a solitary diverticulum .we didn’t have the ability to perform an artery embolization or an endoscopic treatment especially because the patient was shocked. So the patient was operated and a right hemicolectomy was performed. After the surgery he recovered quickly and no bleeding recurred.

References

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Published
2021-07-02
Section
Articles