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An 80-year-old woman was admitted to the hospital because of persistent gastrointestinal bleeding after a right colectomy.
The patient had been in stable health until five months earlier, when chronic gastrointestinal bleeding began, and 12 transfusions of packed red cells were administered during the ensuing three months. She was admitted to another hospital, where examination with a fiberoptic esophagogastroduodenoscope, colonoscopic study to the level of the splenic flexure, and a barium-enema examination showed no bleeding site. A radionuclide red-cell scan suggested that the right side of the colon was the source of the bleeding, and a right hemicolectomy was performed.
Differential Diagnosis
Clinical Diagnoses
Dr. Anil K. Rustgi's Diagnosis
Pathological Discussion
Anatomical Diagnosis
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