Hemorrhage

Hemostasis SAH Sclerotherapy Status aneurysm banding bleeding brain cerebral aneurysm colon colonoscopy diverticular diverticulum endoscopy esophagus laparoscopic cholecystectomy laparoscopy ligation nausea perforation rubber safe cholecystectomy sigmoid colon surgical anatomy varices
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Diverticular Disease - Hemorrhage (1 of 15)

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An 83 year-old man, retired medical doctor, showing a painless, bleeding by the rectum, He was hospitalized, and no hemodynamics changes were observed. His hemoglobin was 9.0 mg/dl.

Toxic Dilatation Of The Colon Superimposed Pseudomembranous...

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Due to the uncontrollable hemorrhage, patient underwent a colectomy (Restorative Procto-Colectomy) Download the video clip by clicking in the endoscopic image.

Colonoscopic Polypectomy (8 of 23)

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In order to avoid an hemorrhage, we took prophylactic measures, such a dilution of adrenaline 2 cc with 1/10.000 was injected in the base of the wide pedicle; after that, two triclip were applied to...

Ulcerative Adenocarcinoma of the Gasrtic Fudnus...

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An 84 year-old female with abdominal pain and weigh loss. An ulcerated neoplasia in the fundus with hemorrhage is observed.

Scirrhous Gastric Carcinoma - Endoscopy (3 of...

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Diffuse nodular thickening of the gastric folds After re-making the diagnosis of both endoscopies, as confirmed by the biopsies seen by three pathologists, the patient was referred to another social...

Hemorrhage due status post rubber band ligation...

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The bleeding has been stopped, tree varix were ligated. Patient was discharged from the hospital with an appointment to eradicate the varices with the same method.

Hemorrhage due status post rubber band ligation...

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We beging with the procedure to banding the varix.

Hemorrhage due status post rubber band ligation...

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Another image and the video of the site of bleed.

Hemorrhage due status post rubber band ligation...

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The exactly site of bleeding was located at the anterior wall of the esophagus near two cm. of the gastroesophageal junction.

Hemorrhage due status post rubber band ligation...

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Many varices are appreciated with “the red sign”.

Hemorrhage due status post rubber band ligation...

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The image and the video display bleeding from esophageal varix.

Hemorrhage due status post rubber band ligation...

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Two years later the patient re-bleeds, She had not taken a suitable medical control, the cirrhosis has progressed, now with ascitis. The hemoglobin was 6.0 gr/dl.

Hemorrhage due status post rubber band ligation...

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This post-procedure control image shows no active bleeding. After a period of observation the procedure was considered complete. The patient was discharged from the hospital the next day. The image...

Hemorrhage due status post rubber band ligation...

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In sequence to the images presented above, you can see hemorrhage and blood clots, consequence of the last injection. The endoscopist needs to develop a certain degree of self-confidence.

Hemorrhage due status post rubber band ligation...

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Some bleeding is observed as a consequence of the sclerotherapy. The bleeding, which originated in the variceal wall, stopped spontaneously.

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