melena

[galaxy_7]

dear all

2 days female full term present with massive melena, HB 11 gm, recieved blood and plasma and after an hour another attack of massive melena and HB 4 gm ..again blood and attack after an hour and bloood and attack after hour and again HB 4gm and blood

what to do

[Alexander Rakow]

Sounds like a real emergency to me!
Seek for major gastrointestinal etiology, such as malrotation and volvulus of the gut.
Consult the nearest surgeon asap and discuss further handling (radiology etc).

[galaxy_7]

the case turns to be massive gangrene of the whole small bowel but no malrotation/volvolus and our surgeon think of mesentric artery thrombosis,, any idea of a similar case or any one ever saw it ...thanx dr alexander for the help..i really appraciate it