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- W3208585516 abstract "Question: An 86-year-old woman with a clinical history of atrial fibrillation under rivaroxaban, hypertension, dyslipidemia, and colonic diverticulosis, gave entrance to the emergency department with abdominal pain and low volume hematochezia in the past 2 days. The patient reported that she had ingested chicken. The physical examination revealed a blood pressure of 142/91 mm Hg, heart rate of 79 bpm, temperature of 36.8 °C, and diffuse pain upon abdominal palpation. Laboratorial exams revealed the patient had a hemoglobin level of 9.5 g/dL (reference range, 11.9–15.6 g/dL) and had an elevated level of C-reactive protein 41.6 mg/L (reference, <5 mg/L). An abdominal computed tomography scan revealed a thickening of the distal transverse, descending, and sigmoid colon, with edema of pericolic fat and a small amount of peritoneal free liquid. In the sigmoid colon, there was also an agglomerate of calcified structures with 12 cm of diameter (Figure A). A rectosigmoidoscopy, using CO2 for inflation, was then performed, revealing an extensive and continuous ulceration of the mucosa of the descending colon with areas of necrosis (Figure B). It was also observed that multiple chicken bone fragments were impacted in the sigmoid colon near diverticula with edema and ulceration of the adjacent mucosa (Figure C, D, and E)." @default.
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- W3208585516 date "2022-06-01" @default.
- W3208585516 modified "2023-10-11" @default.
- W3208585516 title "An Unpredictable Cause of Gastrointestinal Bleeding" @default.
- W3208585516 cites W2089383900 @default.
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- W3208585516 doi "https://doi.org/10.1053/j.gastro.2021.10.034" @default.
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