Exsanguinating Upper GI Bleeds Due to Unusual Arteriovenous Malformation (AVM) of Stomach and Spleen: a Case Report

Overview

Journal World J Emerg Surg

Publisher Biomed Central

Specialty General Surgery

Date 2009 May 5

PMID 19409093

Citations 1

Authors

Mohammad Iqbal Khan

Muhammad Tariq Baqai

Mohammad Fahd Baqai

Naveed Mufti

Affiliations

Soon will be listed here.

Abstract

Background: In this paper we are reporting one case of exsanguinating upper gastrointestinal tract (GIT) bleed requiring massive blood transfusion and immediate life saving surgery.

Case Presentation: A 30 years old female, 12 weeks pregnant was referred to our hospital from the earth-quake affected area of Kashmir with history of upper abdominal pain, haematemesis and melaena for one week. After stabilizing the patient, upper gastro-intestinal endoscopy was performed. It revealed gastric ulcer just distal to the gastro-esophageal junction on the lesser curvature. Biopsy from the ulcer edge led to profuse spurting of the blood and patient went into state of shock. Immediate resuscitation led to rebleeding and recurrence of post haemorrahagic shock.

Conclusion: The patient was immediately explored and total gastrectectomy with splenectomy concluded as life saving procedure. A review of literature was conducted to make this report possible.

Citing Articles

Gastric Arteriovenous Malformation with Characteristic Endoscopic Findings.

Hirayama Y, Takai C, Korekawa K, Saito M, Akasaka A, Nagasawa H Intern Med. 2018; 57(16):2341-2345.

PMID: 29526928 PMC: 6148157. DOI: 10.2169/internalmedicine.0003-17.

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