Acute lower abdominal pain and rectal bleeding

Body Region: Abdomen and Pelvis
Author: Andrik J. Aschoff, MD, Ulm, Germany

1. Patient presentation
2. CT Images
3. CT Findings
4. Diagnosis
5. References


1. Patient presentation

  • An 81-year-old man was admitted to the ER with acute lower abdominal pain and rectal bleeding
    which was suspected to originate from known hemorrhoids
  • At ER, biochemical exams revealed elevated lactate (4.2 mmol/l)
  • Rectal examination showed hemorrhoids (third- or fourth-degree), but no bleeding
  • CT was performed

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