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Related Experiment Videos

Duodeno--jejunal vascular malformation.

D K Bhasin1, R S Chhina, B Nagi

  • 1Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh.

The Journal of the Association of Physicians of India
|August 1, 1990
PubMed
Summary

Vascular malformations are rare causes of obscure gastrointestinal bleeding. This case highlights diagnosis and surgical confirmation of a large duodenal and jejunal vascular malformation presenting as severe melaena.

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Area of Science:

  • Gastroenterology
  • Vascular Surgery

Background:

  • Obscure gastrointestinal bleeding (OGIB) presents a diagnostic challenge.
  • Vascular malformations are an uncommon but significant etiology of OGIB.

Observation:

  • A patient presented with a severe episode of melaena, indicative of upper gastrointestinal bleeding.
  • The bleeding source was identified as a large vascular malformation affecting the duodenum and proximal jejunum.

Findings:

  • Endoscopy initially raised suspicion for the vascular malformation.
  • Diagnostic angiography confirmed the presence and extent of the vascular anomaly.
  • Surgical intervention was performed for definitive diagnosis and management.

Implications:

  • This case underscores the importance of considering vascular malformations in OGIB.

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  • Accurate diagnosis requires a combination of endoscopic, angiographic, and surgical evaluation.
  • Timely surgical management can be crucial for resolving severe bleeding episodes from these lesions.