title: [Ischemia of the cecum caused by glycylpressin].
abstract: A case report is given of a patient with severe upper gastrointestinal bleeding, the source of which could not be localized immediately. Glycylpressin (GP) was applied since bleeding from esophageal varices was suspected. During surgery a gastric ulcer was found penetrating into the pancreas and eroding the splenic artery. A segmental ischemic necrosis of the coecum was found as well, - a complication not yet reported after use of GP. Problems of using GP as a therapeutic agent and especially intestinal necrosis as a complication are discussed. The patient had gastrectomy, splenectomy and hemicolectomy and recovered well.
mesh_terms: D002432:Cecum / Q000098:blood supply* / Q000473:pathology; D004932:Esophageal and Gastric Varices / Q000150:complications; D006471:Gastrointestinal Hemorrhage / Q000517:prevention & control; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications; D007511:Ischemia / Q000139:chemically induced*; D008236:Lypressin / Q000008:administration & dosage / Q000009:adverse effects / Q000031:analogs & derivatives*; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D013276:Stomach Ulcer / Q000150:complications; D000077585:Terlipressin
chemical_list: D008236:Lypressin; D000077585:Terlipressin
vernacular_title: Ischämie des Zökums nach Glyzylpressin.