Esophageal arteriovenous malformation, a rare cause of significant upper gastrointestinal bleeding: Case report and review of literature
| Autor: | Pradeep Kathi, Dhiraj Gulati, Maher Tama, Murray N. Ehrinpreis, Shankerdas Kundumadam |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
business.industry 030232 urology & nephrology Arteriovenous malformation Argon plasma coagulation Case Report General Medicine Endoscopic management medicine.disease Asymptomatic Surgery End stage renal disease 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Medicine 030211 gastroenterology & hepatology Upper gastrointestinal bleeding Esophagus medicine.symptom Presentation (obstetrics) business |
| Popis: | Gastrointestinal (GI) arteriovenous malformations (AVMs) are a well-known source of bleeding with colon being the most common site, but they can also occur in rare locations like the esophagus which may present with life threatening bleeding. We report the case of a 51-year-old male with end stage renal disease (ESRD) presenting with hematemesis and acute on chronic anemia. Further investigation showed an esophageal AVM which is an unusual location and it was successfully treated with an endoscopic clip instead of argon plasma coagulation (APC) due to its challenging location and esophageal wall motion from breathing. The patient continued to be asymptomatic without any upper and lower GI bleeding during his 20 months follow up period after the endoscopic management. Review of literature showed only 10 cases of AVMs involving esophagus and the average age of presentation was 52 years with a male predominance. We also provide an overview of those cases in the discussion section below. |
| Databáze: | OpenAIRE |
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