Gastrointestinal Bleeding in Small Bowel Arteriovenous Malformation: A Case Report
Arteriovenous malformations of the gastrointestinal tract (AVM) can occasionally result in gastrointestinal bleeding. Less than 5% of nonvariceal upper gastrointestinal bleeding is caused by gastrointestinal AVMs, a relatively uncommon cause of GI bleeding. Clinical symptoms that they might present...
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Interna Publishing
2025-04-01
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| Series: | The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy |
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| Online Access: | https://ina-jghe.com/index.php/jghe/article/view/937 |
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| author | Kaka Renaldi Aisyah - |
| author_facet | Kaka Renaldi Aisyah - |
| author_sort | Kaka Renaldi |
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| description | Arteriovenous malformations of the gastrointestinal tract (AVM) can occasionally result in gastrointestinal bleeding. Less than 5% of nonvariceal upper gastrointestinal bleeding is caused by gastrointestinal AVMs, a relatively uncommon cause of GI bleeding. Clinical symptoms that they might present include intussusception, persistent anemia, overt or obscure GI bleeding, and abdominal pain. A 41-year-old male patient presented with a 7-year history of recurrent melena. An initial enteroscopy showed spurting bleeding in the jejunum with histological examination showing AVM with ectopic pancreas. The patient underwent laparotomy with resection, anastomosis, and the construction of a new duodenojejunostomy. The patient complained of recurrent melena during three years of postoperative follow-up. The patient underwent laparotomy resection of the ileum to ascending colon, ileostomy, and splenectomy. Histological examination of the bleeding duodenal mucosa confirmed an arteriovenous malformation. The patient then underwent endoscopic hemostasis using hemoclips and was treated with coil embolization. In abdominal CT, angiographic evaluation showed no visible picture of vascular malformations. Intestinal AVMs are rare but should be considered as the differential diagnosis in patients with recurrent gastrointestinal bleeding. Endoscopic hemostasis, surgical resection, and angiographic intervention can be considered as treatments for AVM.
Keywords: Arteriovenous malformation, gastrointestinal bleeding, small bowel |
| format | Article |
| id | doaj-art-4b775fbbf0c84a0cbd8102a1db5f9604 |
| institution | OA Journals |
| issn | 1411-4801 2302-8181 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Interna Publishing |
| record_format | Article |
| series | The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy |
| spelling | doaj-art-4b775fbbf0c84a0cbd8102a1db5f96042025-08-20T02:25:59ZengInterna PublishingThe Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy1411-48012302-81812025-04-01261848710.24871/261202584-87921Gastrointestinal Bleeding in Small Bowel Arteriovenous Malformation: A Case ReportKaka Renaldi0Aisyah -1Fellows of the Indonesian Society of Internal Medicine; Division of Gastroenterology, Department of Internal Medicine, Faculty of Medicine Universitas Indonesia/Dr. Cipto Mangunkusumo General National Hospital, JakartaInternal Medicine Resident, Faculty of Medicine Universitas Indonesia, Jakarta, IndonesiaArteriovenous malformations of the gastrointestinal tract (AVM) can occasionally result in gastrointestinal bleeding. Less than 5% of nonvariceal upper gastrointestinal bleeding is caused by gastrointestinal AVMs, a relatively uncommon cause of GI bleeding. Clinical symptoms that they might present include intussusception, persistent anemia, overt or obscure GI bleeding, and abdominal pain. A 41-year-old male patient presented with a 7-year history of recurrent melena. An initial enteroscopy showed spurting bleeding in the jejunum with histological examination showing AVM with ectopic pancreas. The patient underwent laparotomy with resection, anastomosis, and the construction of a new duodenojejunostomy. The patient complained of recurrent melena during three years of postoperative follow-up. The patient underwent laparotomy resection of the ileum to ascending colon, ileostomy, and splenectomy. Histological examination of the bleeding duodenal mucosa confirmed an arteriovenous malformation. The patient then underwent endoscopic hemostasis using hemoclips and was treated with coil embolization. In abdominal CT, angiographic evaluation showed no visible picture of vascular malformations. Intestinal AVMs are rare but should be considered as the differential diagnosis in patients with recurrent gastrointestinal bleeding. Endoscopic hemostasis, surgical resection, and angiographic intervention can be considered as treatments for AVM. Keywords: Arteriovenous malformation, gastrointestinal bleeding, small bowelhttps://ina-jghe.com/index.php/jghe/article/view/937arteriovenous malformation, gastrointestinal bleeding, small bowel |
| spellingShingle | Kaka Renaldi Aisyah - Gastrointestinal Bleeding in Small Bowel Arteriovenous Malformation: A Case Report The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy arteriovenous malformation, gastrointestinal bleeding, small bowel |
| title | Gastrointestinal Bleeding in Small Bowel Arteriovenous Malformation: A Case Report |
| title_full | Gastrointestinal Bleeding in Small Bowel Arteriovenous Malformation: A Case Report |
| title_fullStr | Gastrointestinal Bleeding in Small Bowel Arteriovenous Malformation: A Case Report |
| title_full_unstemmed | Gastrointestinal Bleeding in Small Bowel Arteriovenous Malformation: A Case Report |
| title_short | Gastrointestinal Bleeding in Small Bowel Arteriovenous Malformation: A Case Report |
| title_sort | gastrointestinal bleeding in small bowel arteriovenous malformation a case report |
| topic | arteriovenous malformation, gastrointestinal bleeding, small bowel |
| url | https://ina-jghe.com/index.php/jghe/article/view/937 |
| work_keys_str_mv | AT kakarenaldi gastrointestinalbleedinginsmallbowelarteriovenousmalformationacasereport AT aisyah gastrointestinalbleedinginsmallbowelarteriovenousmalformationacasereport |