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August 1961

Empiric Right Colectomy for Massive Gastrointestinal Bleeding

Author Affiliations

Memorial Center for Cancer and Allied Diseases.

Arch Surg. 1961;83(2):247-248. doi:10.1001/archsurg.1961.01300140089016

Abdominal exploration for massive gastrointestinal bleeding quite frequently results in a blind gastric resection1,3,4; however, it is exceedingly rare that one chooses to do an empiric right colectomy.2 This is a report of bleeding by the mouth and rectum from right colon polyposis for which blind right colectomy was performed.

A 77-year-old white woman was admitted on June 20, 1958, with a 6-hour history of copious vomiting of dark, clotted blood, accompanied with dark and red bloody stools. There were moderate nausea, generalized abdominal cramps, and profound weakness, which caused her to fall and cut her forehead.

In December, 1956, she had been explored for a pelvic mass. When the peritoneum was opened, 400 cc. of ascitic fluid was found. A 20 cm. papillary cystadenocarcinoma of the left ovary was embedded in the mesentery of the sigmoid colon. The right ovary and uterus were normal, as was the