April 2004
Gut;Apr2004 Supplement 3, Vol. 53, pA123
Academic Journal
This article presents the case of a 32 year old respiratory registrar who collapsed while conducting an outpatient clinic. He was found by his consultant surrounded by fresh melaena and, following resuscitation, underwent an endoscopy. This was normal, as was a subsequent colonoscopy with terminal ileal intubation. He had one further significant bleed during his inpatient stay and required a total of 6 units of blood. The management of this case involved gastroenterologists, radiologists, and general surgeons and highlights the multidisciplinary approach that is needed to make a definitive diagnosis in cases of obscure gastrointestinal bleeds.


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