Korean J Gastrointest Endosc.  2004 Mar;28(3):136-140.

A Case of Acute Small Bowel Bleeding Diagnosed by Capsule Endoscopy

Affiliations
  • 1Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea. nayoungkim49@yahoo.co.kr
  • 2Department of Liver Research Institute, Seoul National University College of Medicine, Seoul, Korea.
  • 3Department of Internal Medicine, Seoul National University Bundang Hosipital, Gyeonggi-do, Korea.

Abstract

Although small bowel is an uncommon origin of gastrointestinal bleeding, it is a predominant source of obscure gastrointestinal bleeding. Endoscopy is a mainstay of diagnosis and treatment of gastrointestinal bleeding, but small bowel is beyond the reach of the standard upper endoscopy and colonoscopy. Recently wireless capsule endoscopy has been known as a useful method in the diagnosis of small bowel bleeding. A 51-year-old man was admitted with acute abdominal pain and hematochezia. In spite of the conventional endoscopic and radiologic investigations, the bleeding source was not identified. Finally, wireless capsule endoscopy demonstrated drug induced enteropathy as a cause of small bowel bleeding. We report a case of drug induced small bowel bleeding diagnosed by capsule endoscopy with a review of the relevant literature.

Keyword

Capsule endoscopy; Drug induced enteropathy; Small bowel bleeding
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