Early diagnosis of colonic carcinoma: a haemorrhagic complication after the use of tissue plasminogen activator.

Baker, J W; Mitchell, S J; Dixon, A R · Postgrad Med J · 2002

case_report · Level V

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Abstract

Haemorrhagic complications of thrombolytic therapy for myocardial infarction are common. A 68 year old man presented with a myocardial infarction and was started on tissue plasminogen activator. Soon after he experienced rectal bleeding and a barium enema showed a small carcinoma in the colon, which was treated surgically. It is important that gastrointestinal bleeding secondary to thrombolysis is always investigated for an underlying cause.

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