Three Cases with Acute Hemorrhagic Rectal Ulcer

  • Kamihira Masakazu
    Department of Gastroenterology, Omiya Medical Center, Jichi Medical School
  • Oishi Takashi
    Department of Gastroenterology, Omiya Medical Center, Jichi Medical School
  • Futamura Mitsugi
    Department of Gastroenterology, Omiya Medical Center, Jichi Medical School
  • Sato Yoshihiro
    Department of Gastroenterology, Omiya Medical Center, Jichi Medical School
  • Miyata Kazunori
    Department of Gastroenterology, Omiya Medical Center, Jichi Medical School
  • Mizooka Masafumi
    Department of Gastroenterology, Omiya Medical Center, Jichi Medical School
  • Osawa Hiroyuki
    Department of Gastroenterology, Omiya Medical Center, Jichi Medical School
  • Hirakawa Ryuichi
    Department of Gastroenterology, Omiya Medical Center, Jichi Medical School
  • Yoshida Yukio
    Department of Gastroenterology, Omiya Medical Center, Jichi Medical School
  • Yamanaka Takeo
    Department of Gastroenterology, Omiya Medical Center, Jichi Medical School

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Other Title
  • 急性出血性直腸潰瘍の3例

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We report three patients with acute hemorrhagic rectal ulcer (AHRU) in our hospital.<br> Case 1 : A 61-years-old male with alcoholic liver damage and acute renal failure had massive fresh bloody stool. Colonogram showed AHRU. Local injection of hypertonic saline-epinephrine (HSE) and clip ligation failed to prevent rebleeding. Surgical ligation was done.<br> Case 2 : A 80-years-old male with congestive heart failure was admitted because of hematochezia. We could easily inject HSE and perfom clippig ligation by the colonoscopy capped with a transparent hood.<br> Case 3 : A 77-years-old female with congestive heart failure and toxic epidermalnecrolysis had hematochezia. Bleeding from AHRU was treated by clipping ligation.<br> It is important to perform colonoscopy considering AHRU, when we find that a patient have scarlet bloody stool without abdominal pain.

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