Article Text

PDF
A rare cause of bloody diarrhoea
  1. Emma L Culver1,
  2. Christopher Winearls2,
  3. Ian Roberts3,
  4. Satish Keshav1
  1. 1Gastroenterology Department, John Radcliffe Hospital, Oxford, UK
  2. 2Renal Department, Churchill Hospital, Oxford, UK
  3. 3Pathology Department, John Radcliffe Hospital, Oxford, UK
  1. Correspondence to Dr Satish Keshav, Gastroenterology Department, John Radcliffe Hospital, Oxford OX3 9DU, UK; satish.keshav{at}ndm.ox.ac.uk

Statistics from Altmetric.com

Clinical presentation

A 67-year-old woman presented with a 6-week history of progressive abdominal distension. Her clinical examination revealed a palpable pelvic mass. She underwent total abdominal hysterectomy, salpingo-oophorectomy and removal of a 3 kg ovarian cystadenoma. Postoperatively she had renal impairment; urine microscopy revealed red cell casts and renal biopsy demonstrated a segmental crescentic necrotising glomerulonephritis. This was successfully treated with pulsed steroids and cyclophosphamide. Three weeks later, she developed breathlessness, with fleeting pulmonary infiltrates on chest radiography, and was treated with plasmaphaeresis with resolution of symptoms.

She was referred to the gastroenterology department with a 2-week history of lower abdominal pain and bloody diarrhoea with urgency and frequency of eight times a day, preceded by 2 months of non-bloody loose stools. Physical examination revealed a sinus tachycardia, low-grade fever and lower abdominal tenderness without guarding. …

View Full Text

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.