Multiple Polypoid Angiodysplasia with Obscure Overt Bleeding
Clinical Endoscopy
;
: 91-96, 2016.
Article
in English
| WPRIM
| ID: wpr-181514
ABSTRACT
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Platelet Aggregation Inhibitors
/
Angiography
/
Aspirin
/
Follow-Up Studies
/
Angiodysplasia
/
Dyspnea
/
Capsule Endoscopy
/
Hemorrhage
/
Gastrointestinal Hemorrhage
/
Anemia
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
/
Male
Language:
English
Journal:
Clinical Endoscopy
Year:
2016
Type:
Article
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