Posterior nasal hemorrhage mimicking intra-abdominal hemorrhage after gastrectomy: a case report - Takeaways - MDSpire

Posterior nasal hemorrhage mimicking intra-abdominal hemorrhage after gastrectomy: a case report

  • By

  • Haixuan Ye

  • Yan Huang

  • Zexian Xu

  • Huanshen Huang

  • Tianyu Qiu

  • Jiajia Chen

  • May 29, 2026

  • 0 min

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  • 1

    Postoperative hemorrhage is a serious complication after gastrectomy, with incidence rates of 1% to 4% and mortality rates up to 20%.

  • 2

    A 77-year-old woman developed a posterior nasal cavity bleed after total gastrectomy, mimicking intra-abdominal hemorrhage.

  • 3

    Conventional diagnostic tools like CT, endoscopy, and DSA failed to identify the bleeding source, necessitating further investigation.

  • 4

    The abdominal drain had migrated into the jejunal lumen through an anastomotic leak, allowing nasal cavity blood to drain externally.

  • 5

    Endoscopic electrocautery successfully achieved hemostasis, highlighting the need to consider atypical drainage pathways in such cases.

Original Source(s)

Posterior nasal hemorrhage mimicking intra-abdominal hemorrhage after gastrectomy: a case report

  • by Haixuan Ye, Yan Huang, Zexian Xu, Huanshen Huang, Tianyu Qiu, Jiajia Chen

  • May 29, 2026

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