- Author:
Jooyoung LEE
1
;
Sung Wook HWANG
;
Jihye KIM
;
Jinwoo KANG
;
Gyeong Hoon KANG
;
Kyu Joo PARK
;
Jong Pil IM
;
Joo Sung KIM
Author Information
- Publication Type:Case Report
- Keywords: Angiodysplasia; Gastrointestinal hemorrhage; Capsule endoscopy
- MeSH: Anemia; Angiodysplasia*; Angiography; Aspirin; Capsule Endoscopy; Dyspnea; Follow-Up Studies; Gastrointestinal Hemorrhage; Hemorrhage*; Humans; Jejunum; Male; Middle Aged; Myocardial Infarction; Platelet Aggregation Inhibitors
- From:Clinical Endoscopy 2016;49(1):91-96
- CountryRepublic of Korea
- Language:English
- Abstract: Angiodysplasia (AD) is increasingly being recognized as a major cause of gastrointestinal bleeding. Morphologically flat lesions are common types of AD, whereas the polypoid types are rare. We report a case of multiple polypoid AD in the small bowel causing severe anemia and requiring surgical treatment. A 60-year-old male patient visited our hospital with dyspnea and hematochezia. He had a history of myocardial infarction and was taking both aspirin and clopidogrel. Capsule endoscopy, enteroscopy, computed tomography, and angiography revealed multifocal vascular lesions with a polypoid shape in the jejunum. Surgical resection was performed because endoscopic treatment was considered impossible with the number and the location of lesions. The risk of recurrent bleeding related to the use of antiplatelet agents also contributed to the decision to perform surgery. AD was histologically diagnosed from the surgical specimen. He resumed taking both aspirin and clopidogrel after surgery. He fully recovered and has been doing well during the several months of follow-up.