Extensive Small Bowel Ulcers with Overt Hemorrhage Secondary to NSAID usage
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Abstract
Lower gastrointestinal bleeding can be defined as bleeding from gastrointestinal tract distal to the ligament of Treitz. Small bowel bleeding account for about 5% of total case of gastrointestinal bleeding. Angioectasia are the commonest cause of small bowel bleeding account for 30-40% of cases, with strong association to liver cirrhosis and cardiovascular disease. NSAID induced small bowel injury has long been known, but the occurrence of overt bleeding has been unclear according to a study. With that in mind, I would like to report a case of massive small bowel bleeding due to extensive small bowel ulceration which was confirmed with intraoperative enteroscopy and bowel resection specimen. This case report highlights the extensive damage of NSAID usage and management of complicated lower gastrointestinal bleeding
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