# Acute Rectal Bleeding in a COVID-19 Patient: Chasing a Diagnosis

## TL;DR

A patient with severe rectal bleeding and COVID-19 was successfully treated with angiography and embolization.

## Contribution

Highlights the effectiveness of early angiography in managing severe lower gastrointestinal bleeding in complex cases.

## Key findings

- Angiography and embolization successfully stabilized a patient with severe acute rectal bleeding.
- Early angiography is recommended for initial hemostasis in severe lower gastrointestinal bleeding cases.
- A coordinated approach is essential for accurate diagnosis and treatment in complex clinical scenarios.

## Abstract

Guidelines for managing lower gastrointestinal bleeding (LGIB) can vary significantly, posing challenges in clinical settings. This case involves a previously healthy man who presented with severe acute rectal bleeding, along with COVID-19 positivity, Janeway lesions, and splinter hemorrhages. His condition rapidly deteriorated, with evidence suggesting a diverticular bleed. Treatment with angiography and embolization successfully stabilized him, resulting in an excellent outcome. Accurate diagnosis and stabilization necessitate a coordinated approach tailored to each patient’s condition. Early angiography should be considered for initial hemostasis in severe cases of LGIB, as demonstrated in this case.