The common bleeding sites in SHiP include the serosa of the posterior wall of the uterus, the broad ligaments, or the uterosacral ligaments, and bleeding was recorded as venous at the site of varicosities.[4] Due to the enlarged uterus in advanced pregnancy and the
occult bleeding site, it is difficult to make the diagnosis of SHiP preoperatively.
With no symptoms, CRC patients may already have
occult bleeding detected in the stools.
In conclusion, the data in this observational pilot study provided some preliminary indication that a relatively low incidence of GI complaints and
occult bleeding can occur during prolonged cycling event even in the heat.
The indication of gastrointestinal bleeding (GIB) included patients with history of overt bleeding,
occult bleeding identified via a guaiac-based fecal occult blood test (gOBT) (Hemoccult II or Hemoccult Sensa; Beckman Coulter Inc., Brea, CA), or anemia.
Apart from the cutaneous involvement, the digestive lesions bleed spontaneously, in most cases generating
occult bleeding, causing iron-deficiency anemia.
Symptoms are often modest and rather nonspecific, and clinical indication for endoscopic study stems only from the need to find the cause of
occult bleeding responsible for chronic, iron-deficiency anemia as in this patient [4].
Of the 229 VCEs, 154 (67.3%) were done because of
occult bleeding and 75 (32%) because of overt bleeding.
The particularity of the case was the presence of iron deficiency anemia and positive stool for
occult bleeding due to colonic ulcerative lesions making the diagnosis even more difficult.
