Case 23-2021: A 41-Year-Old Woman with Bloody Stools and Thrombocytopenia

Objective: To study the clinical characteristics, paraclinic, the operative indication and treatment outcomes operation of colorectal polyposis by laparoscopic. Marterials: 12 patients with colorectal polyposis, is surgically the subtotal colectomy, and the total colorectomy by laparoscopic from 11/2012 to 4/2015 at Digestive Surgical Department of Hue Central Hospital. Method: Prospective study, all patients were examined clinically, endoscopic colorectal, operative indication, the type of surgery, lengh of post-operative stay, complications, and pathology. Results: From 11/2012 to 4/2015. We had overalled 12 patients: 8 males and 4 females, the mean patient was 36.33 ± 19.5 years of age (15-71). Dyspepsia 66.7%, bloody stools 100%. Laparoscopic segmental bowel resection in four (33,3%) cases: right hemicolectomy in one (8.3%), resection of transverse colon in one (8.3%), left hemicolectomy in two (16.7%), and totally colorectomy in eight (66.7%) by laparoscopic surgery. The mean post-operative hospital stay was 10.1 ± 3.8 days. The early complication: fistula anastomosis in one (8.3%), patients recovered after conservative treatment, no bleeding and no wound infection. The pathology is adematous polyps 91.7% and hyperplasia polyps 8.3%. Conclusion: Laparoscopic surgery is currently the technique of choice. The resection of colorectal polyposis is the method safe, effective, high success, low rate complications. Key words: laparoscopic, polyposis, colo-rectal polyposis, hemicolectomy

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Clinical features of gastroenteritis during a large waterborne Campylobacter outbreak in Askøy, Norway

Infection ◽

10.1007/s15010-021-01652-3 ◽

2021 ◽

Author(s):

Knut Erik Emberland ◽

K.-A. Wensaas ◽

S. Litleskare ◽

A. Iversen ◽

K. Hanevik ◽

...

Keyword(s):

Clinical Features ◽

Joint Pain ◽

Text Message ◽

Warning System ◽

Acute Illness ◽

Common Symptom ◽

Web Based ◽

Severe Gastroenteritis ◽

Bloody Stools ◽

Self Administered Questionnaire

Abstract Purpose Outbreaks of Campylobacter infection are common, but studies exploring the clinical features of acute illness in the outbreak setting are scarce in existing literature. The main purpose of the present study was to investigate the clinical features of self-reported acute illness in gastroenteritis cases during a large waterborne Campylobacter outbreak in Askøy municipality, Norway, in 2019. Methods A web-based self-administered questionnaire, and invitation to participate was sent by the municipality of Askøy as text message to mobile phones using the municipality’s warning system to the inhabitants during the ongoing outbreak. Results Out of 3624 participants, 749 (20.7%) were defined as cases, of which 177 (23.6%) reported severe gastroenteritis. The most common symptoms were loose stools (90.7%), abdominal pain (89.3%) and diarrhea (88.9%), whereas 63.8% reported fever, 50.2% joint pain and 14.2% bloody stools. Tiredness, a symptom non-specific to gastroenteritis, was the overall most common symptom (91.2%). Conclusion About one in four of the cases reported symptoms consistent with severe gastroenteritis. We found more joint pain and less bloody stools than reported in published studies of laboratory confirmed campylobacteriosis cases. Tiredness was common in the current study, although rarely described in previous literature of acute illness in the outbreak setting.

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Hematemesis and Bloody Stools in a 2-Month-Old Infant: More Than a Milk Protein Allergy

Clinical Pediatrics ◽

10.1177/0009922818822319 ◽

2019 ◽

Vol 58 (4) ◽

pp. 474-477

Author(s):

Tiranun Rungvivatjarus ◽

Jennifer Marilyn Barnard ◽

Aarti Patel ◽

Laurie Bernard Stover

Keyword(s):

Milk Protein ◽

Bloody Stools

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Salmonella Infection Presenting as Hematochezia on the First Day of Life

PEDIATRICS ◽

10.1542/peds.94.5.739 ◽

1994 ◽

Vol 94 (5) ◽

pp. 739-741

Author(s):

Rakesh S. Chhabra ◽

Joy H. Glaser

Keyword(s):

Disease Control ◽

Clinical Manifestation ◽

Review Of The Literature ◽

Salmonella Infection ◽

Salmonella Infections ◽

Young Infants ◽

Control And Prevention ◽

Centers For Disease Control ◽

Bloody Stools ◽

Infectious Etiology

Salmonella infections are common in young infants. The incidence in the first month of life is estimated by the Centers for Disease Control and Prevention to be approximately 75 per 100 000 liveborn infants.1 Symptomatic neonatal Salmonella infections generally develop during or after the first week of life. We recently cared for two otherwise healthy newborns who developed bloody stools within 24 hours of birth as the clinical manifestation of a Salmonella infection. These two cases and a review of the literature describing six similar patients are presented to highlight the infectious etiology for hematochezia on the first day of life.

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A Preterm Infant with Abdominal Distension and Bloody Stools

The Journal of Pediatrics ◽

10.1016/j.jpeds.2018.09.040 ◽

2019 ◽

Vol 205 ◽

pp. 289-289.e1

Author(s):

Nahed O. ElHassan ◽

Glenn R. Gourley ◽

Amir Pezeshkmehr ◽

S. Bruce Greenberg ◽

Paul S. Lewis ◽

...

Keyword(s):

Preterm Infant ◽

Abdominal Distension ◽

Bloody Stools

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INTUSSUSCEPTION IN CHILDHOOD

PEDIATRICS ◽

10.1542/peds.25.4.592 ◽

1960 ◽

Vol 25 (4) ◽

pp. 592-597

Author(s):

M. Moreno Robins ◽

Henry P. Plenk

Keyword(s):

Abdominal Pain ◽

Barium Enema ◽

Abdominal Mass ◽

Signs And Symptoms ◽

Safe Procedure ◽

General Hospitals ◽

Small Series ◽

Bloody Stools ◽

Palpable Abdominal Mass ◽

Roentgenographic Examination

A city-wide study of intussusception in childhood is reported. The classic signs and symptoms (vomiting, abdominal pain, bloody stools, palpable abdominal mass) are reported in percentages approximating those previously reported by other authors. Intussusception in childhood occurred about once in every 13,000 admissions to general hospitals. Of 26 cases, 3 had surgery without barium enema. In 11 of 23 patients who had roentgenographic examination the intussusception was reduced by enemas (48%). In one patient the lesion recurred after 24 hours. No deaths were encountered in this small series. Provided certain precautions are followed, barium enema is a safe procedure which will save about one-half of the patients a surgical procedure and unnecessary prolonged hospitalization.

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Extensive Aortic Thromboembolism Due to Acquired Hypercoagulable State: An Autopsy Case Report

Archives of Pathology & Laboratory Medicine ◽

10.5858/2005-129-247-eatdta ◽

2005 ◽

Vol 129 (2) ◽

pp. 247-250

Author(s):

Ling Zhang ◽

Sandra Hollensead ◽

Joseph C. Parker

Keyword(s):

High Titer ◽

Anticardiolipin Antibody ◽

Hypercoagulable State ◽

Laboratory Studies ◽

Diffuse Abdominal Pain ◽

Bowel Infarction ◽

Severe Atherosclerosis ◽

Artery Disease ◽

Bloody Stools ◽

Gross Examination

Abstract Aortic thrombosis rarely occurs without severe atherosclerosis, aneurysm, or cardiosurgical or traumatic state. Arterial thrombosis is commonly related to an inherited and/or acquired hypercoagulable state. A 50-year-old woman presented with diffuse abdominal pain. One day after her admission, she experienced bloody stools. Computed tomography showed multiple extensive thromboses in the aorta and superior mesentery arteries. She underwent a partial jejunoileostomy and colectomy for extensive bowel infarction. Following surgery, her condition deteriorated and she died on the fourth hospital day. At autopsy, gross examination showed 2 large thrombi (7 and 8 cm in length) in the proximal and descending (thoracic) aorta, with mild atherosclerosis. A mesenteric artery thromboembolus with extensive bowel infarction was present. Postmortem laboratory studies revealed an elevated anticardiolipin immunoglobulin G antibody level. The thrombotic state in this patient was considered multifactorial secondary to acquired risk factors, including obesity, mild aortic atherosclerosis with coronary artery disease, and presence of a high titer anticardiolipin antibody.

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Premature Infant With Bloody Stools and Shock

10.1542/9781581104615-part01-ch07 ◽

2005 ◽

pp. 29-34

Keyword(s):

Premature Infant ◽

Bloody Stools

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Renal Emergencies in Children

Pediatric Emergencies ◽

10.1093/med/9780190073879.003.0027 ◽

2020 ◽

pp. 302-310

Author(s):

Liza Kearl ◽

Maureen McCollough

Keyword(s):

Hemolytic Uremic Syndrome ◽

Kidney Injury ◽

Severity Of Illness ◽

Streptococcal Pharyngitis ◽

Acute Glomerulonephritis ◽

Wide Range ◽

History Of ◽

Uremic Syndrome ◽

Tract Infections ◽

Bloody Stools

Renal emergencies in pediatric patients range from more common conditions such as urinary tract infections to rarer conditions such as hemolytic uremic syndrome. This chapter reviews emergency conditions that are less commonly seen, with potentially significant sequelae, and with possible nonspecific or more subtle presentations. Acute kidney injury can be due to a wide range of causes, including benign gastroenteritis and post-streptococcal or toxin-related causes. Less common but more serious conditions, such as nephrotic syndrome or Henoch–Schönlein purpura, present with nonspecific signs such as edema or rash. Acute glomerulonephritis needs to be considered in a child with a history of streptococcal pharyngitis or skin infection. Hemolytic uremic syndrome is typically Shiga toxin-related and should be considered in any ill-appearing child, especially those presenting with bloody stools. Disposition of a child with a renal emergency will depend on the severity of illness, laboratory results, and the ability to follow-up with their primary care provider or specialist.

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