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Gastrointestinal bleeding: case report A 68-year-old woman developed gastrointestinal bleeding during treatment with ibuprofen for myalgia [route, dosage, time to reaction onset and outcome not stated].The woman presented to emergency department with complaints of melena. Her medical history included diabetes mellitus for 11 years and hypertension for 15 years. She had been receiving metformin, telmisartan and ibuprofen for myalgia. She was hospitalised. Physical examination revealed pallor. Rectal touch examination confirmed the presence of melena. Upon initial evaluation, her heart rate was 97 /min, blood pressure was 108/75mm Hg, respiratory rate was 17 /min, oxygen saturation in room air was 97%, and body temperature was 36.5°C. Blood test was performed. Based on investigational findings gastrointestinal bleeding was diagnosed.Ibuprofen was discontinued. The woman started receiving treatment with unspecified proton pump inhibitor and IV hydration. Thereafter, emergency endoscopy was performed and Glasgow-Blatchford bleeding score was calculated as 12. Endoscopy revealed two channels in the pylorus region, indicating underlying double pylorus. In the accessory canal, an ulcer of

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Publisher

Springer Science and Business Media LLC

Published

2023

Language

EN

Field

Medicine (Health Sciences)