+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

A case of Crohn's disease with recurrent massive life-threatening hemorrhage from terminal ileum

A case of Crohn's disease with recurrent massive life-threatening hemorrhage from terminal ileum

Hepato-Gastroenterology 46(27): 1695-1698

A case of Crohn's disease that underwent bowel resection two times at 3-year intervals due to life-threatening hemorrhage from ileum is presented. The bleeding sites were located in the ulcer lesions of ileum, in the oral side near to the ileum-colon transition. The first bleeding point was at the longitudinal ulcer of the terminal ileum and the secondary bleeding site was at the profound ulcer of ileum appearing in the oral side near to the ileo-colic anastomosis. This is the first case of Crohn's disease with recurrent life-threatening massive hemorrhage in the terminal region of ileum, for which operative bowel resections were necessary. This case suggests that we should search for the bleeding site in ileal lesions developed in the circumference of and especially the oral side near to the anastomosis due to prior resection, when intestinal massive bleeding occurs again after bowel resection, and that the careful follow-up and strict treatment with diet therapy and/or anti-inflammatory drugs are necessary for the protection of recurrence in patients with Crohn's disease.

Please choose payment method:

(PDF emailed within 1 workday: $29.90)

Accession: 010048693

Download citation: RISBibTeXText

PMID: 10430324

Related references

Crohn's disease with life-threatening hemorrhage from terminal ileum: successful control by superselective arterial embolization. Journal of Gastroenterology 40(12): 1155-1157, 2005

A Crohn disease patient requiring surgery for massive hemorrhage due to penetration of the ileum by a fish bone: a case report. Nagasaki Igakkai Zasshi 80(4): 128-134,13, 2005

Massive lower gastrointestinal bleeding from terminal ileum in Crohn's disease. La Tunisie Medicale 87(4): 306, 2009

Massive, life-threatening bleeding in Crohn's disease. Acta Chirurgica Belgica 105(2): 168-174, 2005

Life-threatening hemorrhage and exsanguination from Crohn's disease. Diseases of the Colon & Rectum 38(1): 85-95, 1995

Life-threatening jejunal hemorrhage as first presentation of Crohn's disease. Inflammatory Bowel Diseases 16(8): 1277-1278, 2010

Diagnostic angiography in life-threatening colonic hemorrhage in Crohn disease. Aktuelle Radiologie 7(5): 281-283, 1997

Life-threatening hemorrhage and exsanguination from Crohn's disease. Report of four cases. Diseases of the Colon and Rectum 38(1): 85-95, 1995

Life-threatening lower gastrointestinal hemorrhage in pediatric Crohn's disease. Pediatric Gastroenterology Hepatology and Nutrition 16(1): 53-60, 2013

Infliximab for severe recurrent Crohn's disease presenting with massive gastrointestinal hemorrhage. Journal of Clinical Gastroenterology 36(3): 238-241, 2003

Life-threatening hemorrhage: an unusual form of presentation of Crohn's disease treated with endoscopic injection sclerotherapy. Endoscopy 30(7): S83-S84, 1998

Imaging case of the month. Crohn's disease involving the terminal ileum. Maryland Medical Journal 41(1): 63-64, 1992

Coincidence of active Crohn's disease and florid endometriosis in the terminal ileum: a case report. World Journal of Gastroenterology 19(27): 4413-4417, 2013

Massive life-threatening lower gastrointestinal hemorrhage caused by an internal hemorrhoid in a patient receiving antiplatelet therapy: a case report. Korean Journal of Gastroenterology 60(4): 253-257, 2012

Is the length of postoperative recurrence on the neo ileum terminal ileum predictable in Crohn's disease?. Journal of Crohn's and Colitis 5(1): 24-27, 2011