Statistics from Altmetric.com
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.
A 36-year-old woman presented with dark red rectal bleeding, loose watery stools and a 6 day history of epigastric pain. She had a past history of gestational diabetes but no other past medical or family history. She had been taking ranitidine prescribed by her general practitioner for 3 days and had taken ibruprofen for 6 days for a sore throat a few weeks ago. On admission, her pulse was 110 beats/min and blood pressure was 95/58 mm Hg. She had generalised abdominal tenderness and bright red blood on rectal examination. The results of blood analysis were: white cell count (WCC) 13 × 109/l, haemoglobin (Hb) 13.6 g/dl, platelets 287 × 109/l, urea 5.8 mmol/l, creatinine 60 µmol/l, amylase 33 µ/l, C reactive protein (CRP) 17 mg/l, prothrombin time (PT) 10.6 s, activated partial thromboplastin time (APTT) 21.5 s.
Competing interests None.
Patient consent Obtained
Provenance and peer review Not commissioned; externally peer reviewed.