Abstract
We present herein a case of a young woman who experienced lower intestinal hemorrhage caused by ischemic necrosis of the small intestine induced by the compression of a Fallopian tube hematoma in an ectopic pregnancy. All accessible preoperative attempts to clear the site of the bleeding were unsuccessful and an exploratory laparotomy was indicated seventeen days after the development of melena. An ileocecal resection and right salpingectomy finally had to be performed.
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Edger J. Ectopic gestation with formation of large hematocele and secondary rupture into upper third of sigmoid flexure. Glasgow Med J 1901; 56: 143.
Shirkey AL, Wukasch DC, Matthews GB. Profuse intestinal haemorrhage from ruptured ectopic pregnancy. Ann Surg 1964; 160: 839.
Bigg RL, Jarolim C, Kram DD. Ruptured interstitial pregnancy causing massive rectal bleeding. Arch Surg 1965; 91: 1021.
Machado AL. Abdominal pregnancy as a cause of frank melena. Arq Gastroent, S Paulo 1974; 11: 237–240.
Bornman PC, Collins JS, Abrahamson MJ. Live abdominal pregnancy presenting as massive rectal bleeding. Postgraduate Med J 1985; 61: 759–760.
Alberto S, Moises G, Aholeab T. Abdominal pregnancy causing massive lower gastrointestinal bleeding: case report. The Mount Sinai J Med 1985; 52: 371–374.
Swarbrick ET, Fevre DI, Hunt RH. Colonoscopy for unexplained rectal bleeding. Br Med J 1978; 2: 1685–1687.
Brand EJ, Sullivan BH, Sivak MY. Colonoscopy in the diagnosis of unexplained rectal bleeding. Ann Surg 1980; 192: 111–113.
Spechler SJ, Schimmel EM. Gastrointestinal tract bleeding of unknown origin. Arch Intern Med 1982; 142: 236–240.
Markisz JA, Front D, Royal HD. An evaluation of Tc-labeled red blood cell scintigraphy for the detection and localization of gastrointestinal bleeding sites. Gastroenterology 1982; 83: 394–398.
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Iwagaki, H., Kitamura, M., Fuchimoto, S. et al. Frank melena in a patient with fallopian tube pregnancy. The Japanese Journal of Surgery 21, 357–359 (1991). https://doi.org/10.1007/BF02470961
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DOI: https://doi.org/10.1007/BF02470961