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©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Jan 21, 2015; 21(3): 1040-1043
Published online Jan 21, 2015. doi: 10.3748/wjg.v21.i3.1040
Published online Jan 21, 2015. doi: 10.3748/wjg.v21.i3.1040
Successful endoscopic hemoclipping of massive lower gastrointestinal bleeding from paratyphoid A fever
Hui Wang, Xiao-Lin Dong, Xiao-Ming Yu, Kyu Sung Chung, Jian-Peng Gao, Department of Gastroenterology, The Affiliated YanAn Hospital of Kunming Medical University, Kunming 650051, Yunnan Province, China
Author contributions: Wang H and Yu XM performed the endoscopy; Dong XL received the patient and assisted in collecting the patient’s data; Wang H wrote the manuscript; Gao JP and Chung KS edited the manuscript; all authors read and approved the final manuscript.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Jian-Peng Gao, MD, Department of Gastroenterology, The Affiliated YanAn Hospital of Kunming Medical University, 245 East Renmin Road, Kunming 650051, Yunnan Province, China. gaojianpengkm@163.com
Telephone: +86-871-63211282 Fax: +86-871-63211282
Received: June 7, 2014
Peer-review started: June 8, 2014
First decision: June 27, 2014
Revised: August 14, 2014
Accepted: September 18, 2014
Article in press: September 19, 2014
Published online: January 21, 2015
Peer-review started: June 8, 2014
First decision: June 27, 2014
Revised: August 14, 2014
Accepted: September 18, 2014
Article in press: September 19, 2014
Published online: January 21, 2015
Core Tip
Core tip: We present a case of severe lower gastrointestinal bleeding due to paratyphoid A fever that was well-controlled by hemoclippings. Although this type of complication is rare with paratyphoid A fever, clinicians should be cognizant of the possibility for intestinal bleeding from the ulcers in the ileum and proximal colon, which can appear as multiple, variable-sized, round or oval-shaped, punched-out ulcers. Colonoscopy and endoscopic therapy with endoclips should be considered before surgery.