Etiology Bleeding Per Rectum
Upcoming SlideShare
Loading in...5
×
 

Etiology Bleeding Per Rectum

on

  • 1,762 views

 

Statistics

Views

Total Views
1,762
Views on SlideShare
1,762
Embed Views
0

Actions

Likes
0
Downloads
35
Comments
0

0 Embeds 0

No embeds

Accessibility

Categories

Upload Details

Uploaded via as Microsoft PowerPoint

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment

Etiology Bleeding Per Rectum Etiology Bleeding Per Rectum Presentation Transcript

  •  The passage of blood per rectum is common symptom due to lesion of distal small or large bowel. Fresh bleeding per rectum always presents as surgical emergency. The management involving :1. Resuscitation2. Determining source of bleeding3. Controlling the bleeding
  •  According to the age According to the site
  •  Children1. Meckel’s diverticulum2. Juvenile polyps3. Haemangioma4. Anal fissure5. Worms6. Rectal prolapse7. Intussusception
  •  Adult1. Haemorrhoids2. Anal fissure3. Inflammatory bowel disease4. Meckel’s diverticulum5. Diverticulitis6. Angiodysplasia7. Aorto-intestinal fistula8. Ischemic colitis9. Neoplasm (Benign & Malignant)10. Coagulation disorder11. Chemotherapy
  • 1. Small Intestine (melena)2. Large intestine (maroon shaped)3. Rectal/anal (fresh blood)
  • 1.Small intestinal (melena) Meckel’s diverticulum, intussusception, Crohn’s disease, vascular ectasia (angiodysplasia) Tumours (rare) but if it occurs 50% will bleed: leiomyomas, carcinoma, sarcoma, haemangioma Mesenteric vascular occlusion
  • 2. Large intestine (maroon shaped)A. Massive Diverticulosis Vascular ectasia (angiodysplasia)B. Mild and Moderate Cancer Polyps of any type Colitis (UC, CD, Amaebic, bilharzial, ischemic) Endometriosis
  • 3. Rectal/anal (fresh blood) PILES (commonest of all) Fistula, fissures, cancer polyp, prolapse, ruptured perianal hematoma