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Acute lower abdominal pain and rectal bleeding

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

    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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