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Recurrent lower gastrointestinal bleeding from congenital arteriovenous malformation in the terminal ileum mimicking intestinal varicosis: a case report

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Authors
Cheon, Jae Hee; Song, Ho June; Kim, Joo Sung; Park, Kyu Joo; Kim, Woo Ho; Jung, Hyun Chae; Song, In Sung
Issue Date
2007-08-31
Publisher
Korean Academy of Medical Science
Citation
J Korean Med Sci. 2007 Aug;22(4):746-9.
Keywords
AdultArteriovenous Malformations/complications/*pathologyDiagnosis, DifferentialGastrointestinal Hemorrhage/etiology/*pathologyHumansIleum/*abnormalitiesIntestines/*blood supplyMaleRecurrenceVaricose Veins/etiology/*pathology
Abstract
We report on an exceptional vascular cause of gastrointestinal hemorrhage. A 30-yr-old man was admitted because of recurrent hematochezia. Colonoscopy showed circumferential, erythematous, and nodular vascular distensions with hematocystic spots in the terminal ileum resembling varicosis and subsequent computed tomography with 3-dimensional angiographic reconstruction revealed a vascular architecture around the terminal ileum. No other potential source of bleeding was identified. The patient was treated by ileocecectomy and the final diagnosis was of an arteriovenous malformation confined to the terminal ileum. He has been followed up without a further hemorrhagic episode.
ISSN
1011-8934 (Print)
Language
English
URI
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=17728522

https://hdl.handle.net/10371/16148
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College of Medicine/School of Medicine (의과대학/대학원)Surgery (외과학전공)Journal Papers (저널논문_외과학전공)
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