Multiple Polypoid Angiodysplasia with Obscure Overt Bleeding
| Autor: | Sung Wook Hwang, Joo-Young Lee, Jong Pil Im, Gyeong Hoon Kang, Kyu Joo Park, Jinwoo Kang, Jihye Kim, Joo Sung Kim |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Enteroscopy
lcsh:Internal medicine Gastrointestinal bleeding medicine.medical_specialty Medicine (miscellaneous) Case Report Gastrointestinal hemorrhage Angiodysplasia law.invention 03 medical and health sciences 0302 clinical medicine Capsule endoscopy law medicine Radiology Nuclear Medicine and imaging lcsh:RC799-869 lcsh:RC31-1245 Aspirin medicine.diagnostic_test business.industry Gastroenterology medicine.disease Clopidogrel Hematochezia Surgery 030220 oncology & carcinogenesis Angiography lcsh:Diseases of the digestive system. Gastroenterology 030211 gastroenterology & hepatology Radiology medicine.symptom business medicine.drug |
| Zdroj: | Clinical Endoscopy ResearcherID Clinical Endoscopy, Vol 49, Iss 1, Pp 91-96 (2016) |
| ISSN: | 2234-2443 2234-2400 |
| Popis: | Angiodysplasia (AD) is increasingly being recognized as a major cause of gastrointestinal bleeding. Morphologically flat lesions are common types of AD, whereas the polypoid types are rare. We report a case of multiple polypoid AD in the small bowel causing severe anemia and requiring surgical treatment. A 60-year-old male patient visited our hospital with dyspnea and hematochezia. He had a history of myocardial infarction and was taking both aspirin and clopidogrel. Capsule endoscopy, enteroscopy, computed tomography, and angiography revealed multifocal vascular lesions with a polypoid shape in the jejunum. Surgical resection was performed because endoscopic treatment was considered impossible with the number and the location of lesions. The risk of recurrent bleeding related to the use of antiplatelet agents also contributed to the decision to perform surgery. AD was histologically diagnosed from the surgical specimen. He resumed taking both aspirin and clopidogrel after surgery. He fully recovered and has been doing well during the several months of follow-up. |
| Databáze: | OpenAIRE |
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