2 research outputs found
A case of urgent colonoscopic hemostasis of a cecal hemorrhagic ulceration in a patient receiving heparin for COVIDâ19 coagulopathy
Abstract COVIDâ19 rarely causes lower gastrointestinal bleeding even though its RNA has been detected in patient's stool. Urgent colonoscopy in a COVIDâ19 patient with massive bloody stool requires various procedural and equipment considerations. Here, we present a case of colonoscopic hemostasis of a cecal hemorrhagic ulceration in a patient on heparin for COVIDâ19 coagulopathy. We also share various management methods for the prevention of COVIDâ19 contamination. A 71âyearâold man was diagnosed with COVIDâ19 pneumonia and subsequently underwent hemodiafiltration. Heparin was initiated for COVIDâ19 coagulopathy. At day 42, the patient experienced 2000âmL of bloody stool. An operator performed urgent colonoscopy with three assistants in a negativeâpressure room with full personal protective equipment. A hemorrhagic ulceration was detected at the cecum, and endoscopic hemostasis was performed. Immunohistochemistry was positive for cytomegalovirus. Postprocedure, the endoscopic systems were thoroughly cleaned, and specific measures for endoscope reprocessing and disinfection were performed to prevent contamination with COVIDâ19