Massive gastrointestinal bleeding after endoscopic rubber band ligation of internal hemorrhoids: A case report

Figure 1 Endoscopic images of endoscopic rubber band ligation therapy. A: Prolapsed hemorrhoids in forward view before endoscopic rubber band ligation (ERBL); B: Retroflexion view of hemorrhoids before ERBL; C: Ligation of hemorrhoids during ERBL; D: the prolapsed hemorrhoid tissue was withdrawn into the anus after ERBL.

Figure 2 Endoscopic images during follow-up study. A: Active oozing of blood on 7 d post-endoscopic rubber band ligation (ERBL); B: Ulcer and active bleeding on 9 d post-ERBL; C: image after endoscopic hemostasis using clips; D: 12 d post-ERBL; E: 15 d post-ERBL; F: 3 mo post-ERBL.

Figure 3 Curve of hemoglobin before and after endoscopic rubber band ligation therapy.