Angiodysplasia of upper gastrointestinal tract with coagulopathy

A combination of duodenal telangiectasia with factor X deficiency presenting as recurrent malena is rarely reported. Pylorus preserving pancreaticoduodenectomy done under cover of prothrombin complex resulted in complete recovery. Histopathology was consistent with angiomatosis. It is suggested that in managing a case of upper gastrointestinal bleeding, besides establishing the source of bleeding, it is important to detect underlying coagulopathy