BACKGROUND Acute kidney injury due to glomerular bleeding has been described with IgA nephropathy and supratherapeutic warfarin anticoagulation. There is usually demonstrable tubular obstruction by erythrocyte casts associated with acute tubular injury. Although severe thrombocytopaenia increases the risk of bleeding, most cases of haematuria have been ascribed to non-glomerular or urological b...

INTRODUCTION Higher values of red blood cell distribution width (RDW) have recently been associated with worse outcome in patients with cardiovascular disease. However, its relation to bleeding events in patients with non-ST elevation acute coronary syndromes has not been established. AIM To determine the prognostic value of RDW in patients with non-ST segment elevation acute coronary syndrom...

Dear Editor, While most cases of acute lower gastrointestinal (GI) bleeding resolve spontaneously following supportive management, 10% to 15% of patients in whom bleeding persists require further diagnostic and therapeutic intervention.1 The most common causes of massive lower GI bleeding are diverticular disease and angiodysplasia.2 Massive lower GI bleeding resulting from a pseudoaneurysm is ...

Acute variceal bleeding could be a fatal complication in patients with liver cirrhosis. In patients with decompensated liver cirrhosis accompanied by ascites or hepatic encephalopathy, acute variceal bleeding is associated with a high mortality rate. Therefore, timely endoscopic hemostasis and prevention of relapse of bleeding are most important. The treatment goals for acute variceal bleeding ...

We introduced a patient with fetal EBV-triggered who finally developed multidrug-resistant septicemia, perianal abscess, massive alimentary tract bleeding due to gastrointestinal vascular malformation, and acute respiratory distress syndrome. His EB virus maintained chronically active under multiple drug treatments. Interestingly, continuous infection probable idiopathic malformation might be t...

UNLABELLED The management of variceal bleeding remains a clinical challenge with a high mortality. Standardisation in supportive and new therapeutic treatments seems to have improved survival within the last 25 years. Although overall survival has improved in recent years, mortality is still closely related to failure to control initial bleeding or early re-bleeding occurring in up to 30-40% of...

Acute variceal bleeding is a life-threatening complication in patients with portal hypertension. Although overall survival may be improving, mortality is still closely related to failure to control hemorrhage or early re-bleeding. Factors that influence this failure include severity of liver disease and active bleeding during endoscopy. In addition increased portal pressure has been proposed as...

Bleeding peptic ulcers of the oesophagus account for about 4% of admissions for acute upper gastrointestinal bleeding.1"2 Further bleeding during the same admission will occur in one-third of these patients.2 After resuscitation, patients should be given intensive anti-reflux treatment. The ulcer should be biopsied, although carcinoma rarely presents with acute bleeding.1'2 Recurrent bleeding o...