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Life-Threatening Lower Gastrointestinal Hemorrhage in Pediatric Crohn¡¯s Disease

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Kim Earl, °­À±±¸, °íÈ«, À̹ÌÁ¤, ¹Ú¿µ³â,
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 ( Kim Earl ) 
Research Institute of Radiologic Science Department of Pediatrics

°­À±±¸ ( Kang Yun-Koo ) 
Research Institute of Radiologic Science Department of Pediatrics
°íÈ« ( Koh Hong ) 
Research Institute of Radiologic Science Department of Pediatrics
À̹ÌÁ¤ ( Lee Mi-Jung ) 
Research Institute of Radiologic Science Department of Diagnostic Radiology
¹Ú¿µ³â ( Park Young-Nyun ) 
Yonsei University College of Medicine Department of Pathology

Abstract


In Crohn¡¯s disease, mild gastrointestinal bleeding often occurs; however massive gastrointestinal hemorrhage, which can have a dramatic effect on a patient¡¯s vital sign, is rare. This could result in potentially life-threatening complications, which can lead to death. Massive hemorrhagic Crohn¡¯s disease is not well known and for this reason, they are a diagnostic and therapeutic challenge. Various diagnostic and therapeutic methods are currently being developed and used. The surgical method is often used only as a last measure since this approach has the risk of serious complications that may endanger patients. However, if massive bleeding continues even after all therapeutic methods are used, the surgical method must be implemented. In this case, all therapeutic methods were found to be ineffective; therefore, surgery was used as a last option. Ultimately, the surgical method was found to be successfully used to treat life-threatening hemorrhagic Crohn¡¯s disease.

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Gastrointestinal hemorrhage;Pediatric Crohn¡¯s disease;General surgery

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