We report a case of ischemia of the auricle and acute parotitis that developed following embolization for epistaxis. A 53-year-old male was previously conservatively treated for epistaxis with bilateral posterior nasal packing due to hypertension. As the bleeding, continued the patient underwent bilateral embolization of the internal maxillary arteries. The bleeding was controlled but the patie...

Patients: 921 patients > 18 years of age (mean age 65 y, 68% men) who were hospitalized with severe, acute upper GI bleeding (hematemesis, bloody nasogastric aspirate, or melena). Exclusion criteria included massive exsanguinating or lower GI bleeding; recent trauma or surgery; Rockall score = 0 (low rebleeding risk) with hemoglobin (Hgb) level > 12 g/dL; or an acute coronary syndrome, symptoma...

Dengue fever has a wide range of clinical manifestations from asymptomatic disease to complicated dengue haemorrhagic and shock syndrome. Bleeding in is well known but thrombotic events complicating uncommon. ST elevation myocardial infarction during rare poses important management dilemma. At present, there no consensus on how manage this situation. We present two patients with developing our ...

Hookworm infections are rare causes of acute gastrointestinal bleeding. We report a middle aged man with primary nephrotic syndrome and pulmonary embolism. During the treatment with steroids and anticoagulants, the patient presented acute massive hemorrhage of the gastrointestinal tract. The results of gastroscopy showed red worms in the duodenum. Colonoscopy and CT angiogram of abdomen were un...

Acquired haemophilia A (AHA) is a rare hemorrhagic disease caused by an autoantibody against coagulation factor VIII. Nonhaemophiliac patients develop autoantibodies (inhibitors) directed against the factor VIII circulating coagulation protein. Disease is associated with an increased morbidity and mortality. Inhibitors against FVIII induce acute and life-threatening hemorrhagic diathesis becaus...

AIMS More intense platelet-directed therapy for acute coronary syndrome (ACS) may increase bleeding risk. The aim of the current analysis was to determine the rate, clinical impact, and predictors of major and fatal bleeding complications in the PLATO study. METHODS AND RESULTS PLATO was a randomized, double-blind, active control international, phase 3 clinical trial in patients with acute ST e...

Burroughs, A.K., Hamilton, G. Phillips, A., Mezzanotte, G., Mclntyre, N. and Hobbs, K.E.F. (1989) A comparison of sclerotherapy with staple transection of the esophagus for the emergency control of bleeding from esophagus varices. The New England Journal of Medicine; 321:857-862 We compared two procedures for the emergency treatment of bleeding esophageal varices in patients who did not respond...

BACKGROUND The hemoglobin threshold for transfusion of red cells in patients with acute gastrointestinal bleeding is controversial. We compared the efficacy and safety of a restrictive transfusion strategy with those of a liberal transfusion strategy. METHODS We enrolled 921 patients with severe acute upper gastrointestinal bleeding and randomly assigned 461 of them to a restrictive strategy ...

A 50-year-old woman was admitted to our institution because of a pertrochanteric fracture in her right hip to place a femoral nail. Orthopedic surgeons prescribed metamizol 1 g t.i.d. plus paracetamol 1 g t.i.d., both intravenously, as analgesics. One week after surgery she started having hematochezia and her hemoglobin dropped from 12 to 7.7 g/dL. She underwent an urgent gastroscopy (normal)an...

Initial evaluation of the patient with acute abnormal uterine bleeding should include a prompt assessment for signs of hypovolemia and potential hemodynamic instability. After initial assessment and stabilization, the etiologies of acute abnormal uterine bleeding should be classified using the PALM-COEIN system. Medical management should be the initial treatment for most patients, if clinically...