Multiple Polypoid Angiodysplasia with Obscure Overt Bleeding
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 treat...
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| Format: | Article |
| Language: | English |
| Published: |
Korean Society of Gastrointestinal Endoscopy
2016-01-01
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| Series: | Clinical Endoscopy |
| Subjects: | |
| Online Access: | http://www.e-ce.org/upload/pdf/ce-49-1-91.pdf |
| _version_ | 1797668464448503808 |
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| author | Jooyoung Lee Sung Wook Hwang Jihye Kim Jinwoo Kang Gyeong Hoon Kang Kyu Joo Park Jong Pil Im Joo Sung Kim |
| author_facet | Jooyoung Lee Sung Wook Hwang Jihye Kim Jinwoo Kang Gyeong Hoon Kang Kyu Joo Park Jong Pil Im Joo Sung Kim |
| author_sort | Jooyoung Lee |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-11T20:29:36Z |
| format | Article |
| id | doaj.art-c1e3100ad98748e683c643b03ed7a9c6 |
| institution | Directory Open Access Journal |
| issn | 2234-2400 2234-2443 |
| language | English |
| last_indexed | 2024-03-11T20:29:36Z |
| publishDate | 2016-01-01 |
| publisher | Korean Society of Gastrointestinal Endoscopy |
| record_format | Article |
| series | Clinical Endoscopy |
| spelling | doaj.art-c1e3100ad98748e683c643b03ed7a9c62023-10-02T10:19:52ZengKorean Society of Gastrointestinal EndoscopyClinical Endoscopy2234-24002234-24432016-01-01491919610.5946/ce.2016.49.1.916825Multiple Polypoid Angiodysplasia with Obscure Overt BleedingJooyoung Lee0Sung Wook Hwang1Jihye Kim2Jinwoo Kang3Gyeong Hoon Kang4Kyu Joo Park5Jong Pil Im6Joo Sung Kim7 Department of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul, Korea Department of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul, Korea Department of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul, Korea Department of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul, Korea Department of Pathology, Seoul National University College of Medicine, Seoul, Korea Division of Colorectal Surgery, Department of Surgery, Seoul National University College of Medicine, Seoul, Korea Department of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul, Korea Department of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul, KoreaAngiodysplasia (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.http://www.e-ce.org/upload/pdf/ce-49-1-91.pdfAngiodysplasiaGastrointestinal hemorrhageCapsule endoscopy |
| spellingShingle | Jooyoung Lee Sung Wook Hwang Jihye Kim Jinwoo Kang Gyeong Hoon Kang Kyu Joo Park Jong Pil Im Joo Sung Kim Multiple Polypoid Angiodysplasia with Obscure Overt Bleeding Clinical Endoscopy Angiodysplasia Gastrointestinal hemorrhage Capsule endoscopy |
| title | Multiple Polypoid Angiodysplasia with Obscure Overt Bleeding |
| title_full | Multiple Polypoid Angiodysplasia with Obscure Overt Bleeding |
| title_fullStr | Multiple Polypoid Angiodysplasia with Obscure Overt Bleeding |
| title_full_unstemmed | Multiple Polypoid Angiodysplasia with Obscure Overt Bleeding |
| title_short | Multiple Polypoid Angiodysplasia with Obscure Overt Bleeding |
| title_sort | multiple polypoid angiodysplasia with obscure overt bleeding |
| topic | Angiodysplasia Gastrointestinal hemorrhage Capsule endoscopy |
| url | http://www.e-ce.org/upload/pdf/ce-49-1-91.pdf |
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