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Guitarist Pick for Melena: A Unique Case of an Upper GI Bleed
Division of Gastroenterology, Hepatology & Nutrition, Department of Internal Medicine, University of Florida, Gainesville, Florida, USA
Division of Gastroenterology, Hepatology & Nutrition, Department of Internal Medicine, University of Florida, Gainesville, Florida, USA
Division of Gastroenterology, Hepatology & Nutrition, Department of Internal Medicine, University of Florida, Gainesville, Florida, USA
Division of Gastroenterology, Hepatology & Nutrition, Department of Internal Medicine, University of Florida, Gainesville, Florida, USA
- 1 Division of Gastroenterology, Hepatology & Nutrition, Department of Internal Medicine, University of Florida, Gainesville, Florida, USA
- 2 Division of Gastroenterology, Hepatology & Nutrition, Department of Internal Medicine, University of Florida, Gainesville, Florida, USA
- 3 Division of Gastroenterology, Hepatology & Nutrition, Department of Internal Medicine, University of Florida, Gainesville, Florida, USA
- 4 Division of Gastroenterology, Hepatology & Nutrition, Department of Internal Medicine, University of Florida, Gainesville, Florida, USA
International Journal of Clinical Medicine·Volume 08 (2017)·Pages 514–518·Published 11 August 2017·DOI10.4236/ijcm.2017.88048
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Abstract
Gastrointestinal bleeds are a commonly observed complication after left ventricular assist device placement and usually caused by formation of arteriovenous malformations or acquired von Willebrand disease in the setting of anticoagulation use. We present a unique case of an upper GI bleed in which the cause was likely due to the impaction of a guitar pick into the duodenal bulb in the setting of continuous flow-LVAD on anticoagulation with elevated INR and discuss the pathophysiology of GI bleeds post-LVAD placement and relevant concerns about finding foreign bodies in the GI tract and their complications.
KeywordsForeign BodyGI BleedEndoscopyLeft Ventricular Assist Device (LVAD)
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