Life-threatening haemorrhage secondary to nicorandil-induced severe peri-anal ulceration
Nicorandil-induced ulceration is rare but has been reported at multiple sites throughout the gastrointestinal tract. We report a life-threatening complication of such ulceration - catastrophic per-rectal haemorrhage requiring emergency surgery with no prior symptoms. Whilst nicorandil should be cons...
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Veröffentlicht in: | Annals of the Royal College of Surgeons of England 2010-09, Vol.92 (6), p.W39-e40 |
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creator | Mosley, F Bhasin, N Davies, J B Ausobsky, J R |
description | Nicorandil-induced ulceration is rare but has been reported at multiple sites throughout the gastrointestinal tract. We report a life-threatening complication of such ulceration - catastrophic per-rectal haemorrhage requiring emergency surgery with no prior symptoms. Whilst nicorandil should be considered in cases of chronic peri-anal and peristomal ulceration which fail to respond to conventional treatments, this case highlights its importance in the setting of acute surgical presentations. |
doi_str_mv | 10.1308/147870810X12699662981519 |
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We report a life-threatening complication of such ulceration - catastrophic per-rectal haemorrhage requiring emergency surgery with no prior symptoms. 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We report a life-threatening complication of such ulceration - catastrophic per-rectal haemorrhage requiring emergency surgery with no prior symptoms. Whilst nicorandil should be considered in cases of chronic peri-anal and peristomal ulceration which fail to respond to conventional treatments, this case highlights its importance in the setting of acute surgical presentations.</description><subject>Acute Disease</subject><subject>Aged</subject><subject>Anus Diseases - etiology</subject><subject>Fissure in Ano - chemically induced</subject><subject>Fissure in Ano - complications</subject><subject>Fissure in Ano - surgery</subject><subject>Hemorrhage - etiology</subject><subject>Humans</subject><subject>Male</subject><subject>Nicorandil - adverse effects</subject><subject>Online Case Report</subject><subject>Vasodilator Agents - adverse effects</subject><issn>0035-8843</issn><issn>1478-7083</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1UU1rFEEQbcRg1sS_IAOeJ1ZNf18ECWqEBS8KuTW93TW7HWa7156ZgP_eDolBD57q8D7qVT3GOoQr5GDeo9BGg0G4xUFZq9RgDUq0L9jmAeobxl-yDQCXvTGCn7PX83wHgFYbfMXOB1AoOeCG3W7TSP1yqOQXyinvu4OnY6n14PfUzRRKjr7-6pbS5RRK9TmmqU85roFiw--pUneimnqf_dStU6Dql1TyJTsb_TTTm6d5wX58_vT9-qbffvvy9frjtg-8pe4FDSC0MBisDmK3s14Dt6QURCmk9SFKEjAaiwpxlCGOpD3oCGHYAUrgF-zDo-9p3R0pBspL9ZM71XRsuV3xyf2L5HRw-3LvpLLKaNEM3j0Z1PJzpXlxd2Wt7ZjZDQO0P1uBqrHMIyvUMs-VxucNCO6hE_e_Tpr07d8Jn4V_SuC_AcDJiRk</recordid><startdate>201009</startdate><enddate>201009</enddate><creator>Mosley, F</creator><creator>Bhasin, N</creator><creator>Davies, J B</creator><creator>Ausobsky, J R</creator><general>BMJ Publishing Group LTD</general><general>Royal College of Surgeons</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>EHMNL</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope></search><sort><creationdate>201009</creationdate><title>Life-threatening haemorrhage secondary to nicorandil-induced severe peri-anal ulceration</title><author>Mosley, F ; 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subjects | Acute Disease Aged Anus Diseases - etiology Fissure in Ano - chemically induced Fissure in Ano - complications Fissure in Ano - surgery Hemorrhage - etiology Humans Male Nicorandil - adverse effects Online Case Report Vasodilator Agents - adverse effects |
title | Life-threatening haemorrhage secondary to nicorandil-induced severe peri-anal ulceration |
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