LOWER DIGESTIVE HEMORRHAGE

WHEN DO WE SUSPECT IT?

Bleeding through the anus
- Fresh blood
- Red color
ASPECT OF BLOOD VARIES WITH
THE LOCATION OF LESION
SMALL BOWEL
-Diverticular disease
-Small bowel invagination Often
-Mesenteric infarction

-Tumors
-Crohn disease Rare
-Enteritis
COLORECTAL
LOCATION

Diverticular disease
Recto colitis
Polyposis
Colorectal cancer
ANAL LOCATION

Hemorrhoids
Anal fissure
Anal cancer
 DIAGNOSIS

At the end of defecation Hemorrhoids

Before defecation or Rectal cancer

not related with defecation

Stool + Blood + Puss Recto colic tumors

Diarrhea + Blood Colic diverticulosis

Melena High small bowel location

CLINICAL EXAMINATION

Pre-existent disease Crohn, Polyposis,

Diverticulosis

Age
Palpable tumor
Digital rectal examination
PARACLINICS

Radiologic findings
Barium enema tumors
polyposis
Poor results in early stages

Endoscopy

Selective arteriography
 TREATMENT

Pre-op as in any blood loss syndrome

SURGICAL

ENDOSCOPIC