Work

Marginal Artery of Drummond Masquerading as a Fistulous Tract Resulting in Recurrent Lower Gastrointestinal Bleeding

Year: 2023

Type: article

Abstract: Lower gastrointestinal bleeding (LGIB) can be caused by a variety of causes. Pseudoaneurysms have been described as a rare etiology of LGIB and are associated with pancreatic pseudocysts that involve adjacent vasculature. Our study describes a 38-year-old man with recent severe coronavirus disease 2019 and necrotizing pancreatitis presenting with hematochezia and blood clots by gastrostomy-jejunostomy. Initial flexible sigmoidoscopy did not elicit an etiology for the LGIB. Recurrent hematochezia prompted colonoscopy and angiography, which demonstrated a pseudoaneurysm in the marginal artery of Drummond as the source. Our case highlights the importance of repeat evaluation of gastrointestinal bleeding of unknown etiology.

Source: ACG Case Reports Journal

DOI: 10.14309/crj.0000000000001193

Authors: Alexis Bejcek, Anupama Ancha, Tyson Amundsen, Sean Rodich, Steven Smith, Christopher Johnson

Institutions: Baylor Scott & White Medical Center - Temple, University of Tennessee Health Science Center, Hendrick Medical Center

Language: English

Topic: Gastrointestinal Bleeding Diagnosis and Treatment

Subfield: Gastroenterology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4388291571

FWCI:

Cites: 17

Cited by:

Related to: 10