Beyond Surgical Site Bleeding: A Case of Life-Threatening Gastrointestinal Bleed With Nonsteroidal Anti-Inflammatory Use After Autologous Breast Reconstruction. (19th April 2018)

• Record Type: Journal Article
• Authors: Bain, Alexandra; Barkho, Jouseph O.; McRae, Matthew; McRae, Mark
• Is Part Of: Plastic surgery. Volume 4(2018)
• Publication Date: 2018-04-19
• Subjects: gastrointestinal bleed -- breast reconstruction -- post-operative bleeding -- nonsteroidal anti-inflammatory drug; Surgery, Plastic -- Case studies -- Periodicals; Surgery, Plastic; Case studies; Periodicals; 617.952
• DOI: 10.1177/2513826X18769432
• Languages: English
• ISSNs: 2513-826X

Abstract

We report the case of a 66-year-old female who underwent autologous breast reconstruction and sustained a massive upper gastrointestinal bleed secondary to a duodenal ulcer after using nonsteroidal anti-inflammatory drugs (NSAIDs) consistently for 2 weeks. She required resuscitation with a massive blood transfusion protocol and definitive hemorrhage control with interventional coiling of the gastroduodenal artery. We discuss the importance of thinking beyond surgical site bleeding with NSAIDs as well as risk stratification and prevention of NSAID-induced complications.