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Life-threatening lower gastrointestinal bleeding in a teenager
  1. Chin-Chen Chang1,
  2. Ming-Yang Wang2,
  3. Ming-Tsan Lin2,
  4. Hsiu-Po Wang3,
  5. Kao-Lang Liu1
  1. 1Department of Medical Imaging, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan
  2. 2Department of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan
  3. 3Department of Internal Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan
  1. Correspondence to Dr Kao-Lang Liu, Department of Medical Imaging, National Taiwan University Hospital, No. 7, Chung-Shan South Road, Taipei, Taiwan; lkl{at}ntu.edu.tw

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Clinical presentation

A 16-year-old boy presented to our emergency department with hypovolaemic shock due to gastrointestinal bleeding accompanied by massive stool containing fresh blood. Although the patient had no underlying systemic diseases, he had a 3 day history of tarry stool. Oesophagogastroduodenoscopy, colonoscopy and red blood cell nuclear scans were performed at another hospital but no definite focal lesions were identified. He was transferred to our hospital due to the occurrence of acute and massive bloody stool with syncope. Physical examination revealed a soft abdomen without focal tenderness. His blood pressure was 62/43 mm Hg, …

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