An Unusual Endoscopic Image of a Submucosal Angiodysplasia
Obscure gastrointestinal bleeding is responsible for 2–10% of the cases of digestive bleeding. Angiodysplasia is the most common cause. The authors report a case of a 70-year-old female patient admitted to our Gastrointestinal Intensive Care Unit with a significant digestive bleeding. Standard upper...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Case Reports in Gastrointestinal Medicine |
| Online Access: | http://dx.doi.org/10.1155/2012/186065 |
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| author | Rita Carvalho Nuno Almeida Manuela Ferreira Pedro Amaro António Bernardes Maria Augusta Cipriano J. M. Romãozinho Hermano Gouveia Carlos Sofia |
| author_facet | Rita Carvalho Nuno Almeida Manuela Ferreira Pedro Amaro António Bernardes Maria Augusta Cipriano J. M. Romãozinho Hermano Gouveia Carlos Sofia |
| author_sort | Rita Carvalho |
| collection | DOAJ |
| description | Obscure gastrointestinal bleeding is responsible for 2–10% of the cases of digestive bleeding. Angiodysplasia is the most common cause. The authors report a case of a 70-year-old female patient admitted to our Gastrointestinal Intensive Care Unit with a significant digestive bleeding. Standard upper and lower endoscopy showed no abnormalities, and we decided to perform a capsule enteroscopy that revealed a submucosal nodule with active bleeding in the jejunum. An intraoperative enteroscopy confirmed the presence of a small submucosal lesion with a central ulceration, and subsequently a segmental enterectomy was performed. Surprisingly, the histopathological diagnosis was angiodysplasia. The patient remains well after a two-year period of follow-up. We present this case of obscure/overt gastrointestinal bleeding to emphasize the role of capsule and intraoperative enteroscopy in the evaluation of these situations, and because of the unusual endoscopic appearance of the angiodysplasia responsible for the hemorrhage. |
| format | Article |
| id | doaj-art-15a429cc4fac492c8d40fd305464add2 |
| institution | OA Journals |
| issn | 2090-6528 2090-6536 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Gastrointestinal Medicine |
| spelling | doaj-art-15a429cc4fac492c8d40fd305464add22025-08-20T02:02:41ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362012-01-01201210.1155/2012/186065186065An Unusual Endoscopic Image of a Submucosal AngiodysplasiaRita Carvalho0Nuno Almeida1Manuela Ferreira2Pedro Amaro3António Bernardes4Maria Augusta Cipriano5J. M. Romãozinho6Hermano Gouveia7Carlos Sofia8Gastroenterology Department, Coimbra University Hospital, 3000-075 Coimbra, PortugalGastroenterology Department, Coimbra University Hospital, 3000-075 Coimbra, PortugalGastroenterology Department, Coimbra University Hospital, 3000-075 Coimbra, PortugalGastroenterology Department, Coimbra University Hospital, 3000-075 Coimbra, PortugalGeneral Surgery Department, Coimbra University Hospital, 3000-075 Coimbra, PortugalPathology Department, Coimbra University Hospital, 3000-075 Coimbra, PortugalGastroenterology Department, Coimbra University Hospital, 3000-075 Coimbra, PortugalGastroenterology Department, Coimbra University Hospital, 3000-075 Coimbra, PortugalGastroenterology Department, Coimbra University Hospital, 3000-075 Coimbra, PortugalObscure gastrointestinal bleeding is responsible for 2–10% of the cases of digestive bleeding. Angiodysplasia is the most common cause. The authors report a case of a 70-year-old female patient admitted to our Gastrointestinal Intensive Care Unit with a significant digestive bleeding. Standard upper and lower endoscopy showed no abnormalities, and we decided to perform a capsule enteroscopy that revealed a submucosal nodule with active bleeding in the jejunum. An intraoperative enteroscopy confirmed the presence of a small submucosal lesion with a central ulceration, and subsequently a segmental enterectomy was performed. Surprisingly, the histopathological diagnosis was angiodysplasia. The patient remains well after a two-year period of follow-up. We present this case of obscure/overt gastrointestinal bleeding to emphasize the role of capsule and intraoperative enteroscopy in the evaluation of these situations, and because of the unusual endoscopic appearance of the angiodysplasia responsible for the hemorrhage.http://dx.doi.org/10.1155/2012/186065 |
| spellingShingle | Rita Carvalho Nuno Almeida Manuela Ferreira Pedro Amaro António Bernardes Maria Augusta Cipriano J. M. Romãozinho Hermano Gouveia Carlos Sofia An Unusual Endoscopic Image of a Submucosal Angiodysplasia Case Reports in Gastrointestinal Medicine |
| title | An Unusual Endoscopic Image of a Submucosal Angiodysplasia |
| title_full | An Unusual Endoscopic Image of a Submucosal Angiodysplasia |
| title_fullStr | An Unusual Endoscopic Image of a Submucosal Angiodysplasia |
| title_full_unstemmed | An Unusual Endoscopic Image of a Submucosal Angiodysplasia |
| title_short | An Unusual Endoscopic Image of a Submucosal Angiodysplasia |
| title_sort | unusual endoscopic image of a submucosal angiodysplasia |
| url | http://dx.doi.org/10.1155/2012/186065 |
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