ARTERIOSCLEROSIS: ITS ROLE IN THE PATHOGENESIS OF RECTAL HEMORRHAGE: CASE REPORT WITH AUTOPSY FINDINGS
Authors: L ODESSKY
Journal: Annals of Internal Medicine (1952)

Case Reports1 April 1952ARTERIOSCLEROSIS: ITS ROLE IN THE PATHOGENESIS OF RECTAL HEMORRHAGE: CASE REPORT WITH AUTOPSY FINDINGSLouis ODESSKY, M.D.Louis ODESSKY, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-36-4-1121 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptArteriosclerosis has long been recognized as an infrequent cause of rectal hemorrhage. Although examples of such bleeding have been cited in the past, no case with conclusive proof has been reported in the literature. Consequently, the first case of fatal rectal hemorrhage arising from an arteriosclerotic middle hemorrhoidal artery and substantiated at autopsy is herein reported.In listing the etiology of rectal bleeding, Finney1in 1912, Gant4in 1916, Zobel3in 1918, and, later, Westphal,2Griffiths,5Keith6and Frankfeldt7noted that arteriosclerosis might be the causative agent. To this, Frisch8added that bleeding in older people with arteriosclerosis might be...Bibliography1. Finney JM: The significance of blood in the stools, Surg., Gynec. and Obst. 14: 321, 1912. Google Scholar2. Westphal K: Ueber hämorrhagische Erosionen des Rektums, München. med. Wchnschr. 68: 1307, 1921. Google Scholar3. Zobel AJ: Rectal hemorrhage, California State J. Med. 16: 207, 1918. MedlineGoogle Scholar4. Gant SG: Causation and treatment of idiopathic, operative and postoperative anorectal hemorrhage, New York State J. Med. 16: 580, 1916. Google Scholar5. 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SchapiroAstrachan SJE: Proctological manifestations in systemic disease, Rev. Gastroenterol. 14: 786, 1947. MedlineGoogle Scholar31. Lockhart-Mummery JP: Diseases of the rectum and colon and their surgical treatment, 1934, William Wood and Co., Baltimore. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Brooklyn, N. Y.*Received for publication May 3, 1950.From the Department of Pathology, Augusta Veterans Administration Hospital, Augusta, Georgia.Sponsored by the Veterans Administration and published with the approval of the Chief Medical Director. The statements and conclusions published by the author are a result of his own study and do not necessarily reflect the opinion or policy of the Veterans Administration. 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