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Acute Massive Intestinal Bleeding Caused by Hookworm
Hermenegildo de la Riva, MD;
David Gómez Escamilla, MD;
Alberto C. Frati, MD
JAMA. 1981;246(1):68.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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AMONG the causes of acute gastrointestinal (GI) tract bleeding, hookworm infestation is not usually considered. Chronic occult bleeding is well known, but acute hemorrhage is rarely recorded.1-5 We describe a patient who had a massive intestinal hemorrhage.
Report of a Case
A 19-year-old man was admitted because of more than 20 episodes of melena and hematochezia in the preceding 12 hours. Physical examination disclosed pallor, cold skin, blood pressure of 80/50 mm Hg, and pulse rate of 110 per minute. A blood test showed the following values: hemoglobin, 5.2 g/dL; hematocrit, 19%; reticulocytes, 10%; leukocytes, 33,000/cu mm; neutrophils, 58%; eosinophils, 33%; basophils, 1%; and lymphocytes, 8%. Upper GI tract endoscopy, sigmoidoscopy, and small-bowel and barium enema x-ray films were normal. Mesenteric angiography showed a possible bleeding zone in the jejunum. Three liters of whole blood was administered and a laparotomy performed on the fourth day. Complete examination did not
. . . [Full Text PDF of this Article]
Author Affiliations
From the Department of Internal Medicine, Hospital de Especialidades, Centro Medico La Raza, Instituto Mexicano del Seguro Social, México City, México.
Footnotes
Reprint requests to Department of Internal Medicine, Hospital de Especialidades, Centro Medico La Raza, Instituto Mexicano del Seguro Social, Seris y Zaachila, México 15, DF, México (Dr de la Riva).
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