Saudi Journal of Gastroenterology
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Year : 2009  |  Volume : 15  |  Issue : 3  |  Page : 213-214
Bleeding per rectum in a patient with an amputated finger

Departments of Radiodiagnosis, General Surgery and Gastroenterology, SK Institute of Medical Sciences, Srinagar, Kashmir - 190 011, India

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Date of Web Publication24-Jul-2009

How to cite this article:
Hakeem A, Shafi H, Rasool S, Ahmad M. Bleeding per rectum in a patient with an amputated finger. Saudi J Gastroenterol 2009;15:213-4

How to cite this URL:
Hakeem A, Shafi H, Rasool S, Ahmad M. Bleeding per rectum in a patient with an amputated finger. Saudi J Gastroenterol [serial online] 2009 [cited 2021 May 14];15:213-4. Available from:

A 42-year-old female who had her right index finger amputated 13 months back now presented to the department of gastroenterology with symptoms of abdominal pain and bleeding per rectum. On examination the patient had iron deficiency anemia and features of cachexia. Upper gastrointestinal (GI) endoscopy and colonoscopy were done but did not reveal any lesion. The patient underwent computed tomography (CT) scan on a Siemens 64-slice CT scanner, which showed multiple rounded, markedly enhancing, small gut (jejunal) lesions, along with an enteroenteric intussusception [Figure 1],[Figure 2],[Figure 3]. A similarly enhancing lesion was also found in the left gluteus medius muscle.

   Questions Top

  1. What is the probable close differential diagnosis?
  2. What is the appropriate diagnostic modality in such patients?
  3. What treatment should be offered to this patient?

Click here to view answer. View Answer

   References Top

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3.Pacovsky Z, Fait V. Distant metastasis of malignant melanoma in the small intestine. Rozhl Chir 1992;71:424-8.  Back to cited text no. 3    
4.Gatsoulis N, Roukounakis N, Kafetzis I, Gasteratos S, Mavrakis G. Small bowel intussusception due to metastatic malignant melanoma. A case report. Tech Coloproctol 2004;8:s141-3.  Back to cited text no. 4    
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8.Agrawal S, Yao TJ, Coit DG. Surgery for melanoma metastatic to the gastrointestinal tract. Ann Surg Oncol 1999;6:336-44.   Back to cited text no. 8  [PUBMED]  
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10.Ko?odziejski L, Lobaziewicz W, Wysocki W, Metastases of the melanoma to the intestine. Wiad Lek. 2006;59:784-9.  Back to cited text no. 10    
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12.Loualidi A, Spooren PF, Grubben MJ, Blomjous CE, Goey SH. Duodenal metastasis: An uncommon cause of occult small intestinal bleeding. Neth J Med 2004;62:201-5.   Back to cited text no. 12  [PUBMED]  [FULLTEXT]
13.Wulf V, Schroder HJ. Metastasis to the small intestine of malignant melanoma as a rare cause of intestinal hemorrhage. Zentralbl Chir 1994;119:515-6.  Back to cited text no. 13    

Correspondence Address:
Aijaz Hakeem
Department of Radiodiagnosis, SK Institute of Medical Sciences, Srinagar, Kashmir - 190 011
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1319-3767.54741

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  [Figure 1], [Figure 2], [Figure 3]


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