Cervantes MF, Jonguitud BV, Teramoto MO

Language: Spanish
References: 11
Page: 228-231
PDF size: 130.69 Kb.

ABSTRACT

Angiodysplasias are small dilated vessels, including capillaries, with no dysplasic tissue. In the small bowel, they are a rare cause of upper digestive tract bleeding. Jejunal angiodysplasias are even more uncommon and the diagnosis is difficult to establish. Only in 3% of the gastrointestinal bleeding cases, it has been documented that the site lies between the second portion of the duodenum and the ileocecal valve. We present a patient, 54 years old, with two massive gastrointestinal bleeding episodes, a CT, scintilleography and endoscopy were done, with normal results, then a selective arteriography demonstrated the bleeding site. An exploratory laparotomy was performed, with a transoperatory enteroscopy, finding 5 site with vascular abnormalities, resecting about 70 cm of jejunum at 20 cm, from the Treitz ligament.

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