Polypoid Arteriovenous Malformation Presenting with Jejunojejunal Intussusceptions in an Adult.

Author: Doo Ho LIM ¹ ; Ji Yong AHN ; Myeongsook SEO ; Ji Hyun YUN ; Tae Hyung KIM ; Hwoon Yong JUNG ; Jin Ho KIM ; Young Soo PARK
Author Information

1. Department of Gastroenterology, Asan Digestive Disease Research Institute, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. ji110@hanmail.net
Publication Type:Case Report
Keywords: Abdominal pain; Arteriovenous malformations; Jejunum; Intussusception; Polypoid arteriovenous malformation
MeSH: Abdomen; Abdominal Pain; Adult*; Arteriovenous Malformations*; Diagnosis; Diagnosis, Differential; Female; Humans; Intestinal Neoplasms; Intussusception*; Jejunostomy; Jejunum; Middle Aged; Pelvis
From:Clinical Endoscopy 2014;47(6):575-578
CountryRepublic of Korea
Language:English
Abstract: Jejunal polypoid arteriovenous malformations (AVMs) and jejunojejunal intussusceptions are both rare. Here, we present the case of a 61-year-old woman who suffered intermittent episodes of abdominal pain over the course of 13 years. A computed tomography scan of her abdomen and pelvis revealed a distal jejunojejunal intussusception. A suspected low density mass was observed at the tip of the intussusception. Treatment comprised laparoscopic small bowel resection with end-to-end jejunostomy. The final diagnosis was a polypoid AVM measuring 5x3.5x3 cm. We suggest that polypoid AVM should be considered as a differential diagnosis in patients presenting with small intestinal neoplasms.