Postendoscopy subconjunctival hemorrhage

Pappas, Dean; Romeu, José Carlos; Messer, Julio; Dave, Pradyuman B.

doi:10.1016/s0016-5107(84)72464-3

Cited by 8 publications

(4 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Increased intrathoracic pressure during EGD can rarely result in similar manifestations: Subconjunctival haemorrhage is the one most often reported,1–5 in two of the case reports accompanied by a clinical picture similar to this2 4; in one of these cases though, aminosalicylic acid use was probably implicated in the development of facial petechiae 2…”

Section: Discussionmentioning

confidence: 96%

Red face, postendoscopy

Christou

Saugos²,

Vagias³

et al. 2011

Case Reports

View full text Add to dashboard Cite

The authors present a case report of extensive facial petechiae following esophagogastroduodenoscopy (EGD). The patient was a previously healthy male who did not receive any medication predisposing to haemorrhage, nor did he suffer from any underlying disorder (as the subsequent diagnostic work-up demonstrated) that predisposed to the extensive facial capillary rupture. Increased intrathoracic pressure during EGD can rarely result in similar cases that are alarming to the patient and possibly the endoscopy staff, and awareness of their potential and their benign nature and prognosis can assist in reassuring patients.

show abstract

Section: Discussionmentioning

confidence: 96%

Red face, postendoscopy

Christou

Saugos²,

Vagias³

et al. 2011

Case Reports

View full text Add to dashboard Cite

show abstract

“…Although the similar phenomenon after endoscopy was also reported in other studies, no detailed explanation was provided. [ 3 , 4 ] We investigated all cases of ordinary surgery during the same period and found that none of them had conjunctival congestion. In addition, there appeared a significant difference in the incidence of conjunctival congestion.…”

Section: Discussionmentioning

confidence: 99%

Conjunctival congestion after laparoscopic operation in children: A retrospective case series in a single-centre children’s medical centre

Wang

Gong

Yang

et al. 2022

Journal of Minimal Access Surgery

View full text Add to dashboard Cite

Objective: In the present study, we report a retrospective analysis of 23 cases of conjunctival congestion after laparoscopic operation in children and try to explore the causes and intervention measures. Methods and Results: This is a retrospective, single-centre and observational study, and all patients with conjunctival congestion after laparoscopic operation admitted to our institution between August 2021 and December 2021 were included in this study. Records of 23 patients including 16 male patients and 7 female patients were retrospectively analysed. These patients were in the age group of 2–12 years. Their primary symptom was different degrees of conjunctival congestion, and the symptom onset was between 2 and 7 days after laparoscopic operation, including laparoscopic inguinal hernia repair, laparoscopic appendectomies, laparoscopic Meckel’s diverticulectomy, laparoscopic removal of foreign body ingestions and laparoscopic choledochal cystectomy, and the duration of operations varies from 20 min to 255 min. The symptom disappeared from 5 to 21 days after the operation, and the duration of the symptom ranged from 2 to 14 days. A total of 1718 operations were performed, of which 461 were laparoscopic and 1257 were general operations, the incidence of conjunctival congestion after laparoscopic surgery was 23/461, and compared with 0/1257 after ordinary surgery, there was a significant difference between them. Of these 23 patients, 5 patients received no treatment and the other 18 patients were intervened with steroid-containing eye drops. Although eye drops containing steroids can significantly relieve eye discomfort, the duration of conjunctival congestion between the two groups (i.e. steroid-containing eye drop treated vs. non-steroid-containing eye drop treated) did not differ significantly. All patients recovered well. In the follow-up till the end of February 2022, no serious complications had occurred. Conclusion: Conjunctival congestion after laparoscopic operation is extremely rare in children, and the underlying causes are still unclear. We speculate that the pressure of pneumoperitoneum may be the main cause of this phenomenon. Symptoms may be self-limiting, and steroid-containing eye drops can relieve effectively the discomfort.

show abstract

“…Tarlan and Kiratli reported several causes of subconjunctival haemorrhage, that is, hypertension, diabetes mellitus, arteriosclerosis, hyperlipidaemia, severe venous congestion (Valsalva manoeuvre, severe cough, weight lifting, vomiting or sneezing), haematological dyscrasias, local trauma, use of anti‐coagulant or anti‐platelet drugs, contact lens use, ocular amyloidosis, anaplastic carcinoma of lacrimal gland and conjunctival tumours, such as conjunctival lymphangiectasia, lymphangioma, cavernous haemangioma or Kaposi's sarcoma . Furthermore, endoscopy has been associated with the presence of subconjunctival haemorrhage . Specifically, Rajvanshi and McDonald reported a case of bilateral subconjunctival haemorrhage during gastrointestinal endoscopy, although the patient was thrombocytopenic, having a risk factor for bleeding.…”

mentioning

confidence: 99%

Subconjunctival haemorrhage as an indication of gastrointestinal bleeding

Chatziralli

Jaulim

Chatzirallis

et al. 2016

Clinical and Experimental Optometry

View full text Add to dashboard Cite

EDITOR: A 57-year-old man was admitted to the hospital with extensive gastrointestinal bleeding and a history of intermittent episodes of melena over five days. Haemoglobin (Hb) was 9.1 g/dl and mean corpuscular volume (MCV) was 89.5 fl. His medical and family histories were clear. He received no medications and there was no history of use of non-steroidal anti-inflammatory agents. Endoscopy revealed a 1.5 cm solid mass, extended at 35 cm from the incisors, which bled readily on touch. Biopsy specimens taken from the lesion confirmed the diagnosis of well-differentiated grade II adenocarcinoma of the oesophagus in the context of Barrett's oesophagus. There were no signs of distant metastases. The patient reported the presence of recurrent subconjunctival haemorrhage (SCH) during the last year and thorough ophthalmological examination and work-up for haematological conditions or clotting disorders were performed and found to be totally normal.The patient underwent radical oesophagectomy and reconstruction with gastric tube, as well as two-field lymph node dissection. Histopathology of the lesion revealed adenocarcinoma stage T1N0M0, negative in ERB2 gene amplification. The patient had an uncomplicated post-operative course and received no chemotherapy.

show abstract

Postendoscopy subconjunctival hemorrhage

Cited by 8 publications

References 6 publications

Red face, postendoscopy

Red face, postendoscopy

Conjunctival congestion after laparoscopic operation in children: A retrospective case series in a single-centre children’s medical centre

Subconjunctival haemorrhage as an indication of gastrointestinal bleeding

Contact Info

Product

Resources

About