A Case of Hereditary Hemorrhagic Telangiectasia Treated by Argon Plasma Coagulation.
- Author:
Min Kyu JUNG
1
;
Ju Young LEE
;
Hyun Chaol LEE
;
Seong Woo JEON
;
Chang Min CHO
;
Won Young TAK
;
Young Oh KWEON
Author Information
1. Department of Internal Medicine, Kyungpook National University School of Medicine, Daegu, Korea. wytak@mail.knu.ac.kr
- Publication Type:Case Report
- Keywords:
Hereditary hemorrhagic telangiectasis;
Rendu- Osler-Weber disease;
Argon plasma coagulation
- MeSH:
Aged;
Argon;
Argon Plasma Coagulation;
Cicatrix;
Contracts;
Endoscopy;
Female;
Hemorrhage;
Humans;
Melena;
Mucous Membrane;
Skin;
Stomach;
Telangiectasia, Hereditary Hemorrhagic;
Telangiectasis;
Ulcer
- From:Korean Journal of Gastrointestinal Endoscopy
2008;36(1):14-17
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Rendu-Osler-Weber disease is characterized by hereditary transmission, and by the presence of multiple telangiectases of the skin, mucous membranes, and internal organs. We present a case of Rendu-Osler-Weber disease with bleeding from gastric telangiectases that was successfully treated by endoscopy with the use of argon plasma coagulation (APC). A 65-year-old woman presented with melena. Endoscopy disclosed multiple telangiecatses in the whole stomach. APC was performed at an output of 50 W and with an argon gas flow rate of 2 L/min. Only multiple ulcers at the treated sites were seen 7 days after the procedure and fibrotic scars with contracted mucosal folds without active bleeding signs were noted 2 months later.