Abstract

The following report describes a rare complication with continuous hematochezia in a major burn patient due to transverse colon bleeding. The case of a 38 year-old male patient who developed sudden massive lower gastrointestinal bleeding two months after suffering 95% body surface area flame burns is presented. Emergent colonoscopy failed to localize the active bleeding sites. The RBC-technetium 99 was used as a detecting agent for definite identification of the bleeding points. Following unsuccessful conservative treatment, the operation of left hemicolectomy and the Hartmann's procedure was done. The hypovolemic shock due to massive bleeding was completely corrected. The patient resumed enteral feeding seven days after the surgical procedure.

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