Angiodysplasia - Example 2

Author:

Author: Prof. em. Dr. med. S. Liebe, University Hospital Rostock, Rostock, Germany
From: Falk Media Service D34, Endoscopy Practice on Video - Selected Diseases of the Colon
2. Edition 2012. © Falk Foundation e.V. All rights reserved.

Clinical presentation

Recurrent acute gastrointestinal bleeding was noted in this 56-year-old white male. The patient suffered from liver cirrhosis with portal hypertension and esophageal varices. The esophageal varices, however, had never been identified as the source of the bleeding.

Videoclip

The video recording shows a large area of angiodysplasia in the ascending colon. There was no bleeding noted at the time of examination. 

Commentary

The angiodysplastic lesion shown in this segment can be considered a likely source for this patient’s bleeding. Based on these findings a decision was made in favor of embolization.

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