title: Multiple stomas for recurrent life-threatening gastrointestinal bleeding: report of a case.
abstract: Acute lower gastrointestinal hemorrhage is an uncommon and severe symptom. The overall mortality rate ranges from 5 to 12 percent and can approach 40 percent for persistent or recurring bleedings. We report a case of a patient with severe recurrent lower bleeding in whom, despite several repeated explorations and a blind subtotal colectomy, no lesion could be found. Multiple (n = 4) leveled stomas of the small bowel with succus entericus reinfusion were required to localize and treat the cause of the bleeding. This case report is followed by a review of the literature of the management of lower gastrointestinal bleeding.
authors.affiliation: Department of Digestive Surgery, Hospital Saint-Antoine AP-HP, Paris, University Paris VI (Pierre and Marie Curie), Paris, France. jeremie.lefevre@sat.aphp.fr
authors.forename: Jérémie H
authors.initials: JH
authors.lastname: Lefevre
authors.forename: Yann
authors.initials: Y
authors.lastname: Parc
authors.forename: Malika
authors.initials: M
authors.lastname: Bennis
authors.forename: Nicolas
authors.initials: N
authors.lastname: Carbonnel
authors.forename: Najat
authors.initials: N
authors.lastname: Mourra
authors.forename: Emmanuel
authors.initials: E
authors.lastname: Tiret
authors.forename: Rolland
authors.initials: R
authors.lastname: Parc
mesh_terms: D004381:Duodenal Ulcer / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010438:Peptic Ulcer Hemorrhage / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D012008:Recurrence; D054047:Surgical Stomas