Hereditary hemorrhagic telangiectasia diagnosed by enteroscopy: a case report

Hereditary hemorrhagic telangiectasia (HHT) is a very rare autosomal dominant multisystemic disease. Patients with this disease usually present with punctate mucocutaneous telangiectasias and arteriovenous malformations. The diagnostic criteria currently in use are the Curaçao criteria. HHT is consi...

Full description

Bibliographic Details
Main Authors: Margarita Rey, Johana Milena Salazar, Drixie Dalyla Leal, Fernando Sierra, Erika Pérez, Jose De la Hoz, Gustavo Adolfo Reyes, Mariana Vásquez Roldán
Format: Article
Language:English
Published: SAGE Publishing 2021-12-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/03000605211067391
_version_ 1798032586783588352
author Margarita Rey
Johana Milena Salazar
Drixie Dalyla Leal
Fernando Sierra
Erika Pérez
Jose De la Hoz
Gustavo Adolfo Reyes
Mariana Vásquez Roldán
author_facet Margarita Rey
Johana Milena Salazar
Drixie Dalyla Leal
Fernando Sierra
Erika Pérez
Jose De la Hoz
Gustavo Adolfo Reyes
Mariana Vásquez Roldán
author_sort Margarita Rey
collection DOAJ
description Hereditary hemorrhagic telangiectasia (HHT) is a very rare autosomal dominant multisystemic disease. Patients with this disease usually present with punctate mucocutaneous telangiectasias and arteriovenous malformations. The diagnostic criteria currently in use are the Curaçao criteria. HHT is considered a clinical diagnosis; thus, no imaging or preclinical laboratory is mandatory, and diagnosis and management are performed according to the experience of the treating team. We herein describe a 58-year-old man with no significant medical history who presented with a 15-day history of intermittent hematochezia. He was admitted to the hospital and underwent a series of laboratory tests, including colonoscopy, which showed normal results. Therefore, the patient was discharged with a diagnosis of gastrointestinal bleeding. During his second visit to the emergency room, the doctors requested video capsule endoscopy because of the patient’s history, and a diagnosis of HHT was made. The entire approach and treatment were completed with antegrade double-balloon enteroscopy. This case highlights the importance of endoscopic methods for timely diagnosis and proper management.
first_indexed 2024-04-11T20:16:25Z
format Article
id doaj.art-d6157bf2465c4aa5af1e8a668c016ba4
institution Directory Open Access Journal
issn 1473-2300
language English
last_indexed 2024-04-11T20:16:25Z
publishDate 2021-12-01
publisher SAGE Publishing
record_format Article
series Journal of International Medical Research
spelling doaj.art-d6157bf2465c4aa5af1e8a668c016ba42022-12-22T04:04:58ZengSAGE PublishingJournal of International Medical Research1473-23002021-12-014910.1177/03000605211067391Hereditary hemorrhagic telangiectasia diagnosed by enteroscopy: a case reportMargarita ReyJohana Milena SalazarDrixie Dalyla LealFernando SierraErika PérezJose De la HozGustavo Adolfo ReyesMariana Vásquez RoldánHereditary hemorrhagic telangiectasia (HHT) is a very rare autosomal dominant multisystemic disease. Patients with this disease usually present with punctate mucocutaneous telangiectasias and arteriovenous malformations. The diagnostic criteria currently in use are the Curaçao criteria. HHT is considered a clinical diagnosis; thus, no imaging or preclinical laboratory is mandatory, and diagnosis and management are performed according to the experience of the treating team. We herein describe a 58-year-old man with no significant medical history who presented with a 15-day history of intermittent hematochezia. He was admitted to the hospital and underwent a series of laboratory tests, including colonoscopy, which showed normal results. Therefore, the patient was discharged with a diagnosis of gastrointestinal bleeding. During his second visit to the emergency room, the doctors requested video capsule endoscopy because of the patient’s history, and a diagnosis of HHT was made. The entire approach and treatment were completed with antegrade double-balloon enteroscopy. This case highlights the importance of endoscopic methods for timely diagnosis and proper management.https://doi.org/10.1177/03000605211067391
spellingShingle Margarita Rey
Johana Milena Salazar
Drixie Dalyla Leal
Fernando Sierra
Erika Pérez
Jose De la Hoz
Gustavo Adolfo Reyes
Mariana Vásquez Roldán
Hereditary hemorrhagic telangiectasia diagnosed by enteroscopy: a case report
Journal of International Medical Research
title Hereditary hemorrhagic telangiectasia diagnosed by enteroscopy: a case report
title_full Hereditary hemorrhagic telangiectasia diagnosed by enteroscopy: a case report
title_fullStr Hereditary hemorrhagic telangiectasia diagnosed by enteroscopy: a case report
title_full_unstemmed Hereditary hemorrhagic telangiectasia diagnosed by enteroscopy: a case report
title_short Hereditary hemorrhagic telangiectasia diagnosed by enteroscopy: a case report
title_sort hereditary hemorrhagic telangiectasia diagnosed by enteroscopy a case report
url https://doi.org/10.1177/03000605211067391
work_keys_str_mv AT margaritarey hereditaryhemorrhagictelangiectasiadiagnosedbyenteroscopyacasereport
AT johanamilenasalazar hereditaryhemorrhagictelangiectasiadiagnosedbyenteroscopyacasereport
AT drixiedalylaleal hereditaryhemorrhagictelangiectasiadiagnosedbyenteroscopyacasereport
AT fernandosierra hereditaryhemorrhagictelangiectasiadiagnosedbyenteroscopyacasereport
AT erikaperez hereditaryhemorrhagictelangiectasiadiagnosedbyenteroscopyacasereport
AT josedelahoz hereditaryhemorrhagictelangiectasiadiagnosedbyenteroscopyacasereport
AT gustavoadolforeyes hereditaryhemorrhagictelangiectasiadiagnosedbyenteroscopyacasereport
AT marianavasquezroldan hereditaryhemorrhagictelangiectasiadiagnosedbyenteroscopyacasereport