: Infection with Angiostrongylus vasorum was diagnosed at necropsy on a dog that died from acute pulmonary haemorrhage, and on recovery of L1 larvae by Baermann examination of faeces from two dogs, one of which had abdominal pain and retroperitoneal haemorrhage, while the other had right-sided heart failure due to cor pulmonale. The presenting signs included syncope (one dog), exercise intolera...

Massive intrapulmonary haemorrhage and haemothorax are uncommon presentations associated with pulmonary sequestration. Here, we describe the case of a 40-year-old man who suffered from high fever and haemoptysis for 1 week before he was admitted to our hospital with a complaint of chest discomfort with shock. Computed tomography revealed that pulmonary sequestration supplied from the coeliac ar...

There is a wide difference of opinion regarding the criteria necessary for the diagnosis of haemorrhagic disease of the newborn. Formerly, the essential feature seems to have been bleeding from the alimentary tract, hence the synonym 'melaena neonatorum.' More recently a wider view has been taken and many authorities do not consider that haemorrhage into the alimentary tract is necessary for di...

In common with the management of any gastrointestinal (GI) haemorrhage, the first step in the management of acute variceal bleeding is adequate resuscitation and airway protection to prevent aspiration. Coagulation abnormalities are normally corrected. Early endoscopy (as soon as the patient is haemodynamically stable) is recommended because it not only enables accurate diagnosis but also allow...

We report on a 57-year-old woman with a pontine haemorrhage and an extremely prolonged activated partial thromboplastin time (aPTT) of more than 240 s, suggestive of a coagulation disorder. Given the location of the haemorrhage, which is associated with a high mortality rate, recombinant factor VIIa was administered, although not all necessary laboratory analyses could be performed at that time...

Diverticular disease Angiodysplasia Adenomatous polyps Carcinoma Ischaemic colitis Inflammatory bowel disease Radiation proctitis Bleeding from the lower gastrointestinal tract is a common clinical problem in both general and hospital practice. Patients are alarmed when they pass blood, but most have minor anorectal disorders thait can be investigated and treated on an outpatient or day case ba...

In about 20 to 30% of the patients there is more than one lesion responsible for a gastrointestinal haemorrhage. Bleeding from rectal varices is present in 1-8% of cirrhotic patients. The histoacryl is a synthetic tissue adhesive that has been applied with success in the treatment of some particularly digestive haemorrhagic cases (gastric, duodenal or rectal varices). There have also been refer...

Abstract Background Tranexamic acid reduces surgical blood loss and deaths from bleeding in trauma patients. must be given urgently, preferably by paramedics at the scene of injury or ambulance. We developed a simple score (Bleeding Audit Triage Trauma score) to predict death bleeding. Methods conducted an external validation BATT using data UK Research Network (TARN) 1st January 2017 31st Dece...

Here, we report the case of gastrointestinal haemorrhage because of the erosion of the gastroduodenal artery that was caused by a fallen gallstone, which was trapped in the neck of the gallbladder prior to its destructive effect to gallbladder and duodenum walls, which were the unusual features of this case. The trapped gallstone can be exteriorised via three anatomical routes: (1) in the form ...

Sheehan’s syndrome is defined by varying degrees of anterior pituitary deficiency due to postpartumischemic necrosis of the pituitary gland after massive bleeding. Sheehan’s syndrome, though rare, is still one of the commonest causes of hypopituitarism in developing countries like ours. The clinical presentation is variable with abrupt or insidiously developing pituitary insufficiency after a h...