Abstract
38-year-old Colombian woman from the region of Cali in Columbia had been in the United States for about 10 months when she was admitted to the emergency room because of several large, bloody bowel movements in the preceding 12 hours. She had had no gastrointestinal symptoms previous to this episode. She was found to be hypotensive and anemic, and required resuscitation with 6 units of blood. A technetium-labeled red blood cell scan identified the distal small bowel as the source of bleeding. She subsequently underwent exploratory laparotomy and segmental resections of both a bleeding distal small bowel tumor mass and a nonbleeding proximal small bowel tumor mass. A tissue sample was submitted for frozen section to rule out neoplastic tumor.
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