Dieulafoy’s lesion: an unexpected and rare cause of upper gastrointestinal bleeding
A 51- year- old man with multiple comorbidities of hypertension, chronic kidney disease, dyslip-idaemia and a history of stroke was presented to the emergency department with a 1 day epigastric pain. He was subsequently diagnosed with hyper-tensive emergency and inferior myocardial infarc-tion. Desp...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | en en |
| Published: |
BMJ Publishing Group
2020
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| Subjects: | |
| Online Access: | https://eprints.ums.edu.my/id/eprint/26792/1/Dieulafoy%E2%80%99s%20lesion%2C%20an%20unexpected%20and%20rare%20cause%20of%20upper%20gastrointestinal%C2%A0bleeding.pdf https://eprints.ums.edu.my/id/eprint/26792/2/Dieulafoy%E2%80%99s%20lesion%2C%20an%20unexpected%20and%20rare%20cause%20of%20upper%20gastrointestinal%20bleeding.pdf https://eprints.ums.edu.my/id/eprint/26792/ https://casereports.bmj.com/content/bmjcr/13/12/e240905.full.pdf |
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| Summary: | A 51- year- old man with multiple comorbidities of hypertension, chronic kidney disease, dyslip-idaemia and a history of stroke was presented to the emergency department with a 1 day epigastric pain. He was subsequently diagnosed with hyper-tensive emergency and inferior myocardial infarc-tion. Despite being administered an intravenous infusion of glyceryl trinitrate (GTN), his condition deteriorated and he developed cardiac arrest with ventricular fibrillation, which required cardiopul-monary resuscitation and defibrillation. The patient had stormy recoveries with multiple episodes of hospital- acquired pneumonia and prolonged intu-bation due to failed extubation. He was put on double antiplatelet medication and subcutaneous low- molecular weight heparins injection. |
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