Recurrent Lower Gastrointestinal Bleeding from Congenital Arteriovenous Malformation in the Terminal Ileum Mimicking Intestinal Varicosis: A Case Report.
10.3346/jkms.2007.22.4.746
- Author:
Jae Hee CHEON
1
;
Ho June SONG
;
Joo Sung KIM
;
Kyu Joo PARK
;
Woo Ho KIM
;
Hyun Chae JUNG
;
In Sung SONG
Author Information
1. Department of Internal Medicine, Liver Research Institute Seoul National University College of Medicine, Seoul, Korea. issong@snu.ac.kr
- Publication Type:Case Report
- Keywords:
Congenital;
Arteriovenous Malformation;
Ileum;
Varix;
Bleeding
- MeSH:
Adult;
Arteriovenous Malformations/complications/*pathology;
Diagnosis, Differential;
Gastrointestinal Hemorrhage/etiology/*pathology;
Humans;
Ileum/*abnormalities;
Intestines/*blood supply;
Male;
Recurrence;
Varicose Veins/etiology/*pathology
- From:Journal of Korean Medical Science
2007;22(4):746-749
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report on an exceptional vascular cause of gastrointestinal hemorrhage. A 30-yr-old man was admitted because of recurrent hematochezia. Colonoscopy showed circumferential, erythematous, and nodular vascular distensions with hematocystic spots in the terminal ileum resembling varicosis and subsequent computed tomography with 3-dimensional angiographic reconstruction revealed a vascular architecture around the terminal ileum. No other potential source of bleeding was identified. The patient was treated by ileocecectomy and the final diagnosis was of an arteriovenous malformation confined to the terminal ileum. He has been followedup without a further hemorrhagic episode.
