Colonic angiodysplasia in a 34-year-old Nigerian: A case report with a review of literature
Angiodysplasia is an arteriovenous malformation characterized by abnormal, tortuous, dilated small blood vessels in the mucosa and submucosa. It commonly occurs in the colon. We report a case of angiodysplasia in a 34-year old Nigerian male, who presented with recurrent asymptomatic, massive lower...
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| Format: | Article |
| Language: | English |
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Nigerian Medical Association, Akwa Ibom State Branch
2025-07-01
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| Series: | Ibom Medical Journal |
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| Online Access: | http://ojs.ibommedicaljournal.org/ojs/index.php/imjhome/article/view/717 |
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| author | Eboreime OO Umeaku U Uchendu OJ Yovwin G Nwajei IA Sokoh AC Chukwuebuni U |
| author_facet | Eboreime OO Umeaku U Uchendu OJ Yovwin G Nwajei IA Sokoh AC Chukwuebuni U |
| author_sort | Eboreime OO |
| collection | DOAJ |
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Angiodysplasia is an arteriovenous malformation characterized by abnormal, tortuous, dilated small blood vessels in the mucosa and submucosa. It commonly occurs in the colon. We report a case of angiodysplasia in a 34-year old Nigerian male, who presented with recurrent asymptomatic, massive lower gastrointestinal bleeding. At laparotomy, it was observed that from the sigmoid to the rectum above the peritoneal reflection looked abnormal; with dilated, thickened and turgid wall, and multiple discrete bluish sub-serous swellings all around the sigmoid colonic wall. Affected segment of the colon was resected. Histology showed features consistent with angiodysplasia. His post-operative condition was stable. He was discharged on the seventh post-operative day and one month follow-up has been uneventful.
Conclusion: Angiodysplasia is a common cause of lower GI bleeding. It should be considered in cases of massive lower gastrointestinal bleeding due to non-neoplastic causes.
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| format | Article |
| id | doaj-art-1e336cc71ba642479c29a960cf8a2815 |
| institution | Kabale University |
| issn | 1597-7188 2735-9964 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Nigerian Medical Association, Akwa Ibom State Branch |
| record_format | Article |
| series | Ibom Medical Journal |
| spelling | doaj-art-1e336cc71ba642479c29a960cf8a28152025-08-20T04:02:01ZengNigerian Medical Association, Akwa Ibom State BranchIbom Medical Journal1597-71882735-99642025-07-0118310.61386/imj.v18i3.717Colonic angiodysplasia in a 34-year-old Nigerian: A case report with a review of literatureEboreime OO0Umeaku U1Uchendu OJ2Yovwin G3Nwajei IA4Sokoh AC5Chukwuebuni U6Department of Surgery, Igbinedion University Okada, Edo State, NigeriaDepartment of Morbid Anatomy/Histopathology, Delta State University Abraka, Delta State, NigeriaDepartment of Morbid Anatomy/Histopathology, Delta State University Abraka, Delta State, NigeriaDepartment of Family Medicine, Delta State University Abraka, Delta State, NigeriaDepartment of Radiology, Delta State University Abraka, Delta State, NigeriaDepartment of Morbid Anatomy/Histopathology, Delta State University Abraka, Delta State, NigeriaDepartment of Medicine/Psychiatry, Saint Ann’s Bay Regional Hospital, Jamaica Angiodysplasia is an arteriovenous malformation characterized by abnormal, tortuous, dilated small blood vessels in the mucosa and submucosa. It commonly occurs in the colon. We report a case of angiodysplasia in a 34-year old Nigerian male, who presented with recurrent asymptomatic, massive lower gastrointestinal bleeding. At laparotomy, it was observed that from the sigmoid to the rectum above the peritoneal reflection looked abnormal; with dilated, thickened and turgid wall, and multiple discrete bluish sub-serous swellings all around the sigmoid colonic wall. Affected segment of the colon was resected. Histology showed features consistent with angiodysplasia. His post-operative condition was stable. He was discharged on the seventh post-operative day and one month follow-up has been uneventful. Conclusion: Angiodysplasia is a common cause of lower GI bleeding. It should be considered in cases of massive lower gastrointestinal bleeding due to non-neoplastic causes. http://ojs.ibommedicaljournal.org/ojs/index.php/imjhome/article/view/717AngiodysplasiaLower gastrointestinal bleedingNigerian |
| spellingShingle | Eboreime OO Umeaku U Uchendu OJ Yovwin G Nwajei IA Sokoh AC Chukwuebuni U Colonic angiodysplasia in a 34-year-old Nigerian: A case report with a review of literature Ibom Medical Journal Angiodysplasia Lower gastrointestinal bleeding Nigerian |
| title | Colonic angiodysplasia in a 34-year-old Nigerian: A case report with a review of literature |
| title_full | Colonic angiodysplasia in a 34-year-old Nigerian: A case report with a review of literature |
| title_fullStr | Colonic angiodysplasia in a 34-year-old Nigerian: A case report with a review of literature |
| title_full_unstemmed | Colonic angiodysplasia in a 34-year-old Nigerian: A case report with a review of literature |
| title_short | Colonic angiodysplasia in a 34-year-old Nigerian: A case report with a review of literature |
| title_sort | colonic angiodysplasia in a 34 year old nigerian a case report with a review of literature |
| topic | Angiodysplasia Lower gastrointestinal bleeding Nigerian |
| url | http://ojs.ibommedicaljournal.org/ojs/index.php/imjhome/article/view/717 |
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