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Young female with metastatic cervical cancer, S/P chemo therapy, radiotherapy, surgery. S/P bilateral neph tubes placements secondary to ureteric involvement from the pelvic mass. Present admission for exchange of the tubes, during which had acute drop in hemoglobin from vaginal bleed. No surgical options and patient was in the process of palliative care.

 

[pdf-embedder url=”http://ir4u.info/new/wp-content/uploads/2019/04/Rectal-artery-bleed.pdf”]

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