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Updated: May 28, 2026
08:49
Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
Colon bleeding from both arteriovenous malformation and inflammatory bowel disease. Case report
N Kontopodis1, K Spiridakis, M Grigoraki
1General Hospital of Heraklion, Crete, Greece.
Il Giornale Di Chirurgia
|October 25, 2011
Summary
Massive lower gastrointestinal bleeding in a young patient was successfully treated with extensive right hemicolectomy. This surgical approach controlled hemorrhage from arteriovenous malformation and early inflammatory bowel disease, offering a safe therapeutic option.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Hepatology
Background:
- Lower gastrointestinal bleeding (LGIB) management often involves endoscopy and angiography, with most patients responding to conservative treatment.
- However, 10-20% of LGIB cases lack a recognizable hemorrhage site, and 10-30% require surgical intervention.
- Massive LGIB in young patients presents unique diagnostic and therapeutic challenges.
Observation:
- A 23-year-old male presented with recurrent hematochezia and hemodynamic instability despite transfusions.
- Emergent colonoscopy revealed extensive bleeding but no definitive source.
- The patient underwent an extensive right hemicolectomy to control the hemorrhage.
Findings:
- Histopathological examination identified both an arteriovenous malformation and early inflammatory bowel disease lesions as causes of bleeding.
- The patient stabilized post-surgery with no further signs of hemorrhage.
- Extensive right hemicolectomy proved effective in controlling massive LGIB from dual pathologies.
Implications:
- Extensive right hemicolectomy is a viable and safe therapeutic option for massive LGIB of unknown origin in young patients.
- This approach offers lower mortality and morbidity compared to subtotal colectomy.
- Close postoperative monitoring is crucial for patients undergoing hemicolectomy for LGIB.
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