Patie nt | Age (y) | Sex | History | Pulse (beats/ min) | BP (mg Hg) | Hb (g/l) | Units transfused | Angiography findings | Treatment | Result | Outcome |
1 | 78 | F | Continuous rectal bleed | 120 | 80 | 60 | 8 | Superior haemorrhoidal bleed from solitary rectal ulcer | 2 coils | Bleeding stopped | Temporary colostomy and adrenaline swab for slight bleed at sigmoidoscopy. Died 8 weeks later of bronchopneumonia |
2 | 72 | M | 5 bleeds over 72 h | 120 | 95/60 | 58 | 7 | Bleed from caecal branch and MCA | 2 coils | Bleeding stopped | No further bleeding. Occult ischaemic stricture at hepatic flexure. Well at 16 months |
3 | 83 | F | 4 bleeds over 48 h | >120 | NR | 60 | 6 | 2 angiographies. First no bleeding point identified. Second bleed from MCA | 3 coils | Bleeding stopped | No further bleeding. Diverticular disease on barium enema. Well at 14 months |
4 | 71 | M | Continuous bleed for 12 h | >120 | 90/70 | 74 | 6 | Bleed from MCA | Single coil | Bleeding stopped | No further bleeds. Elective right hemicolectomy for diverticular disease |
5 | 84 | F | 6 heavy bleeds, previous right hemicolectomy for Crohn’s disease | >120 | 80 | 54 | 5 | Diffuse bleed from left colon | 10 coils | Further bleeding | Emergency left hemicolectomy for Crohn’s colitis. CVA, died 48 h later |
6 | 86 | F | 4 heavy bleeds in 12 h | 100 | 80 | 73 | 6 | Bleed from RCA | Single coil | Bleeding stopped | No further bleeds. Diverticular disease on barium enema. Well at 1 year |
7 | 87 | F | 4 heavy bleeds in 12 h | >120 | 95/60 | 68 | 6 | Bleed from caecal artery | Single coil | Bleeding stopped | No further bleeds. Diverticular disease on barium enema. Well 15 months later |
8 | 86 | F | Protracted bleeding over 72 h. Dialysis patient | >120 | NR | 40 | 8 | Bleed from LCA | 3 coils in marginal artery | Bleeding stopped | No further bleeds. Diverticular disease. Segment of ischaemic colon managed conservatively. Well at 14 months |
9 | 86 | M | 3 heavy bleeds | >120 | 80 | 80 | 6 | Caecal branch | 3 coils | Bleeding stopped | No further bleeding. Well at 16 months |
10 | 57 | M | Continuous bleeding over 24 h. PMH regular rectal bleeding | >120 | 100 | 93 | 4 | Superior haemorrhoidal angiodysplasia | 6 coils | Bleeding stopped | No further bleeding. Well at 3 months. Further minor bleeds at 6 months. Minor symptomatic rectal stenosis |
11 | 83 | F | 5 heavy bleeds in 48 h | >120 | 80 | 62 | 7 | Superior haemorrhoidal traumatic ulcer | Single coil | Bleeding stopped | No further bleeding. Died 33 days later of bronchopneumonia |
12 | 79 | F | Continuous bleeding over 24 h | 120 | 100 | 93 | 6 | Middle colic bleed | 4 coils | Further bleeding at 24 hours | Right hemicolectomy. Hepatic flexure haemangioma |
13 | 86 | M | 3 heavy bleeds | 110 | 100 | 100 | 4 | Caecal bleed | 2 coils | Bleeding stopped | No further bleeding. Well at 3 months |
14 | 82 | F | 5 heavy bleeds | 120 | 80 | 80 | 6 | Rectal Dieulafoy’s disease | 2 coils | Bleeding stopped | No further bleeding. Well at 3 months |
CVA, cardiovascular accident; NR, not recordable; MCA, middle colic artery; RCA, right colic artery; LCA, left colic artery; PMH, post medical history.