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Stitch in time saves nine
  1. Aisha Rummaan1,
  2. Irene Lee1,
  3. Deepa Rattehalli1,
  4. Prajesh Kumar1,
  5. Sauid Ishaq2,3
  1. 1 Endoscopy Department, Dudley Group of Hospital, Dudley, UK
  2. 2 Department of Gastroenterology, Dudley Group NHS Foundation Trust, Dudley, UK
  3. 3 Department of health and Science, Birmingham City University, Birmingham, UK
  1. Correspondence to Professor Sauid Ishaq, Department of Gastroenterology, Dudley Group NHS Foundation Trust, Dudley DY1 2HQ, West Midlands, UK; sauid.ishaq{at}

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A 52-year-old woman with an end ileocaecectomy due to previous terminal ileum Crohn’s disease presented with a 3-day history of blood clots in her ileostomy bag. She had no history of diarrhoea or abdominal pain. Her Hb was 54 on her initial presentation. She underwent an ileoscopy with large blood clots found distally but no source of bleeding was detected despite 30 cm of intubation into the small bowel. Her gastroscopy only revealed a grade A oesophagitis. She had received 48 hours of hydrocortisone with no effect on her symptom. In …

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  • Contributors All authors involved in the management of this patient and contributed either in write up or critical revision.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.

  • © Author(s) (or their employer(s)) 2023. No commercial re-use. See rights and permissions. Published by BMJ.