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Guitarist Pick for Melena: A Unique Case of an Upper GI Bleed

Guitarist Pick for Melena: A Unique Case of an Upper GI Bleed
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摘要 Gastrointestinal bleeds are a commonly observed complication after left ventricular assist device placement and usually caused by formation of arteriovenous malformations or acquired von Willebrand disease in the setting of anticoagulation use. We present a unique case of an upper GI bleed in which the cause was likely due to the impaction of a guitar pick into the duodenal bulb in the setting of continuous flow-LVAD on anticoagulation with elevated INR and discuss the pathophysiology of GI bleeds post-LVAD placement and relevant concerns about finding foreign bodies in the GI tract and their complications. Gastrointestinal bleeds are a commonly observed complication after left ventricular assist device placement and usually caused by formation of arteriovenous malformations or acquired von Willebrand disease in the setting of anticoagulation use. We present a unique case of an upper GI bleed in which the cause was likely due to the impaction of a guitar pick into the duodenal bulb in the setting of continuous flow-LVAD on anticoagulation with elevated INR and discuss the pathophysiology of GI bleeds post-LVAD placement and relevant concerns about finding foreign bodies in the GI tract and their complications.
出处 《International Journal of Clinical Medicine》 2017年第8期514-518,共5页 临床医学国际期刊(英文)
关键词 Foreign Body GI Bleed ENDOSCOPY Left VENTRICULAR Assist Device (LVAD) Foreign Body GI Bleed Endoscopy Left Ventricular Assist Device (LVAD)
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