Clinical Endoscopy  2014;47(6):575-578

doi:10.5946/ce.2014.47.6.575

Polypoid Arteriovenous Malformation Presenting with Jejunojejunal Intussusceptions in an Adult.

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

Affiliations

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Keywords

Abdominal pain; Arteriovenous malformations; Jejunum; Intussusception; Polypoid arteriovenous malformation

Country

Republic 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.