title: [A fatal case of lower gastrointestinal hemorrhage: report of case and review of the literature].
abstract: Gastrointestinal hemorrhage continues to be a major medical problem. Even with improvements in both diagnostic and therapeutic, a significant number of patients still require surgical intervention for control of hemorrhage. When the source of persistent lower gastrointestinal hemorrhage is unknown, subtotal colectomy is a conceptually rational management choice. The authors present a case of massive lower gastrointestinal hemorrhage with unusual fatal outcome. A review of literature of this condition and a discussion about the diagnosis, treatment and etiopathogenesis are presented.
authors.affiliation: Serviço de Cirurgia Geral, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo.
authors.forename: P
authors.initials: P
authors.lastname: Volpe
authors.forename: M A
authors.initials: MA
authors.lastname: Machado
authors.forename: A C
authors.initials: AC
authors.lastname: Martini
authors.forename: E
authors.initials: E
authors.lastname: Steinman
authors.forename: R S
authors.initials: RS
authors.lastname: Poggetti
authors.forename: P D
authors.initials: PD
authors.lastname: Branco
authors.forename: D
authors.initials: D
authors.lastname: Birolini
mesh_terms: D000792:Angiography; D003113:Colonoscopy; D017809:Fatal Outcome; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D011877:Radionuclide Imaging
vernacular_title: Evolução fatal de hemorragia digestiva baixa: relato de caso e revisão da literatura.