Gastrointestinal ischemia: endoscopic findings in the context of vascular insufficiency

Autores/as

  • Diogo Turiani Hourneaux De Moura University of São Paulo
  • Antonio C. Madruga Neto University of São Paulo
  • Gabriel C. Barsotti University of São Paulo
  • Martin Coronel University of São Paulo
  • Hugo G. Guedes University of São Paulobr
  • Vitor O. Brunaldi University of São Paulo
  • Everson L.A. Artifon University of São Paulo
  • Eduardo G.H. De Moura University of São Paulo

DOI:

https://doi.org/10.47892/rgp.2019.393.983

Palabras clave:

Endoscopy, Hypovolemic shock, Disseminated intravascular coagulation

Resumen

Gastrointestinal ischemia may result from different causes: hemodynamic shock, thromboembolism, endoscopic or surgical complications, among other causes. Its symptoms are pain, vomiting, bleeding and bloating. Endoscopic findings are pale or blackened mucosa, and exudative and confluent ulcerative lesions. This paper aims to report a case of gastroduodenal ischemia associated with hemodynamic shock and disseminated intravascular coagulation (DIC). This is a case of a 56-years-old male with multiple comorbidities, presenting with refractory septic shock and DIC. He underwent an upper gastrointestinal endoscopy (UGE) for investigation of melena, which revealed an extensive deep and exudative gastric ulcer, associated with edematous purplish duodenal mucosa. Due to the severity of the underlying condition, the patient evolved to death, evidencing septic shock as cause of death. Gastroduodenal ischemia is associated with a poor prognosis, in which early diagnosis by UGE is fundamental to guide potential interventions.

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Publicado

23.10.2019

Cómo citar

1.
Hourneaux De Moura DT, Madruga Neto AC, Barsotti GC, Coronel M, Guedes HG, Brunaldi VO, Artifon EL, De Moura EG. Gastrointestinal ischemia: endoscopic findings in the context of vascular insufficiency. Rev Gastroenterol Peru [nternet]. 23 de octubre de 2019 [citado 20 de julio de 2024];39(3):273-5. isponible en: https://revistagastroperu.com/index.php/rgp/article/view/983

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