Obscure Bleeding From an Ovarian Carcinoma Invading the Small Bowel

2017 ◽  
Vol 112 (4) ◽  
pp. 534
Author(s):  
Chang Sian Ying Heidi ◽  
Dedrick Kok Hong Chan ◽  
Michael Solomon ◽  
Ker-Kan Tan
Keyword(s):  
Small Bowel ◽  
Ovarian Carcinoma ◽  
Obscure Bleeding

Prospective Evaluation of Patients Referred for Obscure Bleeding: How Many Patients Actually Have Small Bowel Bleeding? Update At One Year

2008 ◽  
Vol 67 (5) ◽  
pp. AB258
Author(s):  
John Staples ◽  
Mark Mcloughlin ◽  
Pardis Lakzadeh ◽  
Iman Zandieh ◽  
Jaber Al Ali ◽  
...  
Keyword(s):  
Small Bowel ◽  
Prospective Evaluation ◽  
Obscure Bleeding ◽  
One Year ◽  
Small Bowel Bleeding

scholarly journals Small Bowel Metastatic Melanoma: An Emblematic “Coal-Black” Appearance at Videocapsule Endoscopy

Medicina ◽  
2021 ◽  
Vol 57 (12) ◽  
pp. 1313
Author(s):  
Alessia Todeschini ◽  
Ilaria Loconte ◽  
Antonella Contaldo ◽  
Enzo Ierardi ◽  
Alfredo Di Leo ◽  
...  
Keyword(s):  
Small Bowel ◽  
Metastatic Melanoma ◽  
Lung Resection ◽  
S100 Protein ◽  
Small Bowel Resection ◽  
Recurrent Bleeding ◽  
Melanoma Metastasis ◽  
Obscure Bleeding ◽  
Videocapsule Endoscopy ◽  
One Year

A 80-year-old woman underwent vulvar melanoma resection and segmental lung resection for pulmonary metastasis. Immunotherapy with Nivolumab was performed. One year later, the patient was admitted for gastrointestinal (GI) recurrent bleeding and severe anemia. Esophagoastroduodenoscopy and colonoscopy did not show any abnormality, while videocapsule endoscopy (VCE) revealed an irregular and exophytic whitish area with a “coal-black” central depression. Small bowel resection was performed and histological examination revealed S100 protein strongly positive melanoma metastasis. The patient died six months later from disease progression. A “coal-black” appearance of intestinal metastatic melanoma has been described only twice before this report. In one case the patient had been treated by immunotherapy with interferon A and dendritic cell-based vaccination. In our patient, it is presumable that the picture we observed was a consequence of Nivolumab treatment inducing the disappearance of melanocytes in the area surrounding the metastasis with the onset of the central coal-black lesion encircled by whitish tissue. This picture should be emblematic of intestinal metastatic melanoma in subjects treated with immunotherapy showing occult/obscure bleeding.

scholarly journals Small bowel Dieulafoy lesions: An uncommon cause of obscure bleeding in cirrhosis

2016 ◽  
Vol 8 (16) ◽  
pp. 568 ◽  
Author(s):  
Grainne Holleran ◽  
Mary Hussey ◽  
Deirdre McNamara
Keyword(s):  
Small Bowel ◽  
Obscure Bleeding

Small Bowel Masses Found and Missed On Capsule Endoscopy for Obscure Bleeding

2006 ◽  
Vol 63 (5) ◽  
pp. AB176 ◽  
Author(s):  
Matthew Baichi ◽  
Razi M. Arifuddin ◽  
Parvez S. Mantry
Keyword(s):  
Small Bowel ◽  
Capsule Endoscopy ◽  
Obscure Bleeding

scholarly journals Push enteroscopy in management of suspected small bowel diseases: Is it still needed?

2014 ◽  
Vol 05 (03) ◽  
pp. 095-100
Author(s):  
Mohamed A. Tawfik ◽  
Abd Allah El-Sawy
Keyword(s):  
Small Bowel ◽  
Diagnostic Yield ◽  
Push Enteroscopy ◽  
Medicine Department ◽  
Proximal Small Bowel ◽  
Intestinal Lesions ◽  
Common Diagnosis ◽  
Bowel Diseases ◽  
Obscure Bleeding ◽  
Small Intestinal

Abstract Background and Study Aims: Small intestinal lesions still represent a challenge in diagnosis and treatment. The detection of small bowel lesions has been difficult due to limited visualization of the small bowel by esophagogastroduodenoscopy (EGD) and colonoscopy. In this study, we aimed to assess the efficacy of push enteroscopy (PE) in diagnosis and therapy of small bowel lesions in different indications in a single gastrointestinal (GI) endoscopy center. Patients and Methods: In the period from January 2012 to December 2013, 14 patients presented with different indications referred to the Tanta Endoscopy Center, a division of the internal medicine department and one of the most important centers in Delta Nile in Egypt. Patients were referred due to different indications, and they underwent examination by PE. Results: The overall diagnostic yield for patients with suspected small bowel disease was 57% and for patients with both occult and overt obscure bleeding 63%. Ectopic jejunal varices was the most common diagnosis in patients with GI blood loss. Patients with active overt GI bleeding had a higher diagnostic yield. The procedure was tolerated well, and no complications occurred. Conclusions: Additional endoscopic evaluation of the proximal small bowel by PE should be considered in all patients with nonspecific findings on EGD and colonoscopy especially with occult or overt bleeding, balloon-assisted enteroscopy may be not readily available and capsule endoscopy is expensive.

Small-bowel masses found and missed on capsule endoscopy for obscure bleeding

2007 ◽  
Vol 42 (9) ◽  
pp. 1127-1132 ◽  
Author(s):  
Matthew M. Baichi ◽  
Razi M. Arifuddin ◽  
Parvez S. Mantry
Keyword(s):  
Small Bowel ◽  
Capsule Endoscopy ◽  
Obscure Bleeding

Palliation of small bowel obstruction by percutaneous gastrostomy in patients with progressive ovarian carcinoma

1986 ◽  
Vol 68 (3) ◽  
pp. 431-433 ◽  
Author(s):  
John M. Malone ◽  
Thomas Koonce ◽  
Dale M. Larson ◽  
Ralph S. Freedman ◽  
C. Humbert ◽  
...  
Keyword(s):  
Small Bowel ◽  
Ovarian Carcinoma ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Percutaneous Gastrostomy

Under Pressure: Obscure Bleeding due to Small Bowel Varices

2018 ◽  
Vol 113 (Supplement) ◽  
pp. S1149-S1150
Author(s):  
Nicole Harrison ◽  
Sarah Davis ◽  
Lawrence Goldkind
Keyword(s):  
Small Bowel ◽  
Obscure Bleeding ◽  
Small Bowel Varices

scholarly journals Obscure bleeding from the small bowel.

BMJ ◽  
1984 ◽  
Vol 289 (6437) ◽  
pp. 108-108
Author(s):  
S Brearley ◽  
N S Ambrose ◽  
S Silverman ◽  
P C Hawker ◽  
N J Dorricott ◽  
...  
Keyword(s):  
Small Bowel ◽  
Obscure Bleeding
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