Massive Hemorrhage from Rectal Ulcers in Chronic Renal Failure
Authors: MARVIN GOLDBERG
Journal: Annals of Internal Medicine (1984)

Brief Reports1 March 1984Massive Hemorrhage from Rectal Ulcers in Chronic Renal FailureMARVIN GOLDBERG, M.D., GEORGE C. HOFFMAN, M.D., DUANE G. WOMBOLT, M.D.MARVIN GOLDBERG, M.D., GEORGE C. HOFFMAN, M.D., DUANE G. WOMBOLT, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-100-3-397 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptMassive lower gastrointestinal hemorrhage from rectal ulcers is unusual and frequently presents a difficult diagnostic challenge. Acute renal hemorrhage is usually associated with either arteriovenous malformation or diverticulosis, but is seen more rarely after rectal trauma, stercol ulceration, ulcerative colitis, and Crohn's disease (1, 2). Simple diagnostic maneuvers, such as sigmoidoscopy, to localize the point of bleeding are extremely important but frequently difficult because of the massive amount of blood in the rectum. Great care must be taken to clear all the blood and clots from the rectum so that all the rectal mucosa can be adequately visualized.We have...References1. BRODERS C. Bleeding from diverticula of the colon. Surg Clin North Am. 1972;52:315-8. CrossrefMedlineGoogle Scholar2. MCGUIRE H and HAYNES B. Massive hemorrhage for diverticulosis of the colon: guidelines for therapy based on bleeding patterns in 50 cases. Ann Surg. 1972;175:847-55. CrossrefMedlineGoogle Scholar3. RABINER S. Uremic bleeding. Prog Hemostasis Thromb. 1972;1:233-50. MedlineGoogle Scholar4. STEINER R, COGGINS C, and CARVALHO A. Bleeding time in uremia: a useful test to assess clinical bleeding. Am J Hematol. 1979;7:107-17. CrossrefMedlineGoogle Scholar5. MADIGAN M and MORSON B. Solitary ulcer of the rectum. Gut. 969;10:871-81. CrossrefGoogle Scholar6. RUTTER K and RIDDELL R. The solitary ulcer syndrome of the rectum. Clin Gastroenterol. 1975;4:505-30. CrossrefMedlineGoogle Scholar7. DELANCY H and HITCH W. Solitary rectal ulcer: a cause of life-threatening hemorrhage. Surgery. 1974;76:830-2. MedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: MARVIN GOLDBERG, M.D.; GEORGE C. HOFFMAN, M.D.; DUANE G. WOMBOLT, M.D.Affiliations: Eastern Virginia Medical School Norfolk, Virginia PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byRisk Factors for Acute Hemorrhagic Rectal Ulcer Syndrome and Its Prognosis: A Density Case-Control StudyGastrointestinal and Hepatic Manifestations of Systemic DiseasesMajor stigmata of recent hemorrhage on rectal ulcers in patients with severe hematochezia: endoscopic diagnosis, treatment, and outcomesGastrointestinal Complications of Renal FailureGastrointestinal Bleeding in Maintenance Dialysis PatientsPerirectal and Perineal Infections in End-Stage Renal Disease PatientsRectal Ulcers and Chronic Renal FailureJUAN J. ALBERTI-FLOR, M.D., G. DEWEY DUNN, M.D.Kolon und Rektum 1 March 1984Volume 100, Issue 3Page: 397-397KeywordsBloodCrohn's diseaseGastrointestinal hemorrhageHemorrhageMucous membranesRectumRenal failureThrombosisUlcerative colitisUlcers ePublished: 1 December 2008 Issue Published: 1 March 1984 PDF downloadLoading ...