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ARTICLE
Year : 1969  |  Volume : 17  |  Issue : 2  |  Page : 69

Haematemesis after enucleation of the eye


Nehru Institute of Ophthalmology and Research, Eye Hospital, Sitapur, UP, India

Date of Web Publication8-Jan-2008

Correspondence Address:
A P Goswami
Nehru Institute of Ophthalmology and Research, Eye Hospital, Sitapur, UP
India
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Source of Support: None, Conflict of Interest: None


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How to cite this article:
Goswami A P, Pahwa J M. Haematemesis after enucleation of the eye. Indian J Ophthalmol 1969;17:69

How to cite this URL:
Goswami A P, Pahwa J M. Haematemesis after enucleation of the eye. Indian J Ophthalmol [serial online] 1969 [cited 2019 Jun 17];17:69. Available from: http://www.ijo.in/text.asp?1969/17/2/69/38439

Haematemesis has been recorded after intra-cranial operation by various neurosurgeons. As reported by Ramamurthi and Kanaka[1], Davis and his associates in 1955 reported 48 cases of haematemesis out of 7,000 neurosurgical cases over a period of thirty years. Ramamurthi and Kanaka[1] recorded three such cases where haematemesis occurred in a period of 16 years. Here we are reporting a case where haematemesis occurred after enucleation of the eye.

A Muslim female of 15 had a painful blind eye after irridocyclitis and staphyloma. The enucleation was done by the usual technique without general anesthesia. Toilet was done and the eye was bandaged. As soon as the patient came out of the operation theatre she vomited. This first vomit consisted of some undigested food and little blood. She was moved to the ward not more than 100 yards from the operation theater. As soon as she was put on the bed she again vomited. This time it was frank blood measuring about 100 cc. Immediately an hemostatic injection was given and she was given ice to chew. Half an hour later she again vomited blood but this time it was only a very little quantity. Ice was continued for the next 2 hours and she never vomited again.


  Discussion Top


Such haematemesis is attributed to irritation of the hypothalamus but in our case there was no cause for such a pathology. The patient did not give any history and did not reveal any signs on investigations of peptic ulcer or gastritis. The cause cannot be definitely established. It could be just a coincidence.

 
  References Top

1.
RAMAMURTHI, B. AND KANAKA, T. S.: Gastrointestinal Haemorrhage in Intracranial operations. Journal Indian Medical Association 49: 574.  Back to cited text no. 1
    




 

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