Related Experiment Videos
Submucosal arterial malformation of the colon with massive hemorrhage. Report of a case
Diseases of the Colon and Rectum
|February 1, 1989
Insights
A rare case of massive lower intestinal bleeding caused by a large artery in the ascending colon, mimicking Dieulafoy
Area of Science:
- Gastroenterology
- Vascular Medicine
- Colorectal Surgery
Background:
- Dieulafoy's disease typically involves gastric submucosal artery erosion.
- Lower gastrointestinal bleeding (LGIB) has diverse etiologies.
- Submucosal arterial abnormalities are uncommon causes of LGIB.
Observation:
- A 60-year-old male presented with massive lower intestinal bleeding.
- Angiography identified an abnormally large submucosal muscular artery in the ascending colon as the bleeding source.
- The clinicopathologic features were identical to Dieulafoy's disease.
Findings:
- This case represents a rare instance of Dieulafoy's-like lesion in the ascending colon.
- Erosion of a large submucosal artery in the colon can cause severe hemorrhage.
- Three similar cases of colonic Dieulafoy's disease have been previously reported.
Implications:
- Highlights the possibility of Dieulafoy's disease occurring outside the stomach, specifically in the colon.
- Emphasizes the importance of angiography in localizing obscure lower gastrointestinal bleeding.
- Suggests considering vascular anomalies in the differential diagnosis of massive LGIB.
Abstract:
The case of a 60-year-old man with massive lower intestinal bleeding, secondary to erosion of an abnormally large submucosal muscular artery in the ascending colon, is reported. The bleeding site was localized by angiography. The clinicopathologic presentation of this case is identical to Dieulafoy's disease, which occurs almost exclusively in the stomach. Three similar patients with lesions also located in the ascending colon have been reported in the English medical literature.