A Case of Lower Gastrointestinal Bleeding due to Angiodysplasia in the Terminal Ileum.
- Author:
Anna KIM
1
;
Jong Min LEE
;
Jane OH
;
Gye Sung LEE
Author Information
1. Department of Internal Medicine, Sun General Hospital, Daejeon, Korea. ankimmd@hanmir.com
- Publication Type:Case Report
- Keywords:
Angiodysplasia;
Lower gastrointestinal bleeding;
Hemoclipping
- MeSH:
Aged;
Angiodysplasia*;
Angiography;
Colonoscopy;
Endoscopes;
Hemorrhage*;
Humans;
Ileum*;
Middle Aged
- From:Korean Journal of Gastrointestinal Endoscopy
2004;28(4):197-201
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Angiodysplasia has been recognized as an important cause of lower gastrointestinal bleeding, but it is difficult to confirm the lesions. Angiodysplasia in the small bowel could be the most probable cause of bleeding particularly in the elderly patients when usual methods fail to document the focus. Small bowel angiodysplasias have been diagnosed by angiography and/or surgery at the sites where usual endoscope could not reach, and treated by medical therapy, angiographic embolization or surgery. We experienced a case of a bleeding angiodysplasia in the terminal ileum in a 51-year-old man who was taking anti-platelet agents. The lesion was diagnosed by colonoscopy, and bleeding was easily controlled with hemoclipping.
