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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 333:1273-1279 November 9, 1995 Number 19
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Case 34-1995— A 77-year-old woman with 17 years of gastrointestinal bleeding
C. Fernandez-del Castillo, and E. Ahmed

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Presentation of Case

A 77-year-old woman was admitted to the hospital because of chronic gastrointestinal bleeding with increasing weakness and dyspnea.

There was a 17-year history of gastrointestinal bleeding with an undetermined source, despite extensive evaluation on multiple admissions to this hospital that were characteristically complicated by severe anemia, with hematocrit levels as low as 13 percent, and congestive heart failure. Seven of the hospitalizations were during the two years before the current admission, and the most recent was four months before the current admission. During the 10 years before admission, the patient had received approximately 240 transfusions. Detailed panendoscopic examinations with angiographic . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnoses

Dr. Carlos Fernandez-Del Castillo's Diagnoses

Pathological Discussion

Anatomical Diagnoses

References




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