A 31-year-old woman with bipolar disorder was hospitalized for suspected neuroleptic malignant syndrome. During her hospital stay, she was affected by acute lower gastrointestinal hemorrhage. After unsuccessful endoscopy, the patient became hemodynamically unstable and underwent angiography that showed bleeding from the right superior rectal artery, embolized by using gelatin sponge (Spongostan, Ferrosan Medical Devices A/S, Søborg, Denmark). The subsequent angiographic study of the right internal iliac artery showed active bleeding from a pseudoaneurysm of the inferior rectal artery that was embolized by using N-butyl-2-cyanoacrylate (Glubran 2, GEM Srl, Viareggio, Italy). The patient had a successful clinical outcome without rectal ischemia.
Renzulli, M., Mosconi, C., Ascanio, S., Modestino, F., Cappelli, A., Pagano, N., et al. (2016). Young Women With Acute Lower Gastrointestinal Bleeding. ANNALS OF EMERGENCY MEDICINE, 68(2), e55-e56 [10.1016/j.annemergmed.2016.01.031].
Young Women With Acute Lower Gastrointestinal Bleeding
Renzulli, Matteo;Pagano, Nico;Golfieri, Rita
2016
Abstract
A 31-year-old woman with bipolar disorder was hospitalized for suspected neuroleptic malignant syndrome. During her hospital stay, she was affected by acute lower gastrointestinal hemorrhage. After unsuccessful endoscopy, the patient became hemodynamically unstable and underwent angiography that showed bleeding from the right superior rectal artery, embolized by using gelatin sponge (Spongostan, Ferrosan Medical Devices A/S, Søborg, Denmark). The subsequent angiographic study of the right internal iliac artery showed active bleeding from a pseudoaneurysm of the inferior rectal artery that was embolized by using N-butyl-2-cyanoacrylate (Glubran 2, GEM Srl, Viareggio, Italy). The patient had a successful clinical outcome without rectal ischemia.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
