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Aortic stenosis--angiodysplasia of the caecum
Insights
A 73-year-old female patient with aortic stenosis experienced severe, recurrent intestinal bleeding due to angiodysplasia in the caecum. Surgical resection of the affected colon section successfully resolved the bleeding, confirming the diagnosis.
Area of Science:
- Gastroenterology
- Vascular Surgery
Background:
- Angiodysplasia is a common cause of obscure gastrointestinal bleeding.
- Aortic stenosis can be associated with gastrointestinal angiodysplasia.
Observation:
- A 73-year-old female patient with aortic stenosis presented with severe, recurrent lower gastrointestinal bleeding.
- The patient required 32 hospital admissions and 178 liters of blood transfusion over 8 years.
- Mesenterial angiography identified angiodysplasia in the caecum as the bleeding source.
Findings:
- Resection of the affected colonic segment led to complete cessation of bleeding.
- Pathological examination confirmed the diagnosis of angiodysplasia of the caecum.
Implications:
- Surgical intervention is an effective treatment for severe angiodysplasia-related gastrointestinal bleeding.
- Early diagnosis and management of angiodysplasia can prevent significant morbidity and mortality.
- This case highlights the importance of considering angiodysplasia in patients with aortic stenosis and obscure gastrointestinal bleeding.
Abstract:
A 73-year-old female patient developed beside aortic stenosis angiodysplasia in the caecum, which gave rise to serious, repeated intestinal bleedings. As a result, the patient was admitted to hospital 32 times. Over a period of 8 years she was given 178 litres of blood. The vascular disorder which was the source of bleeding, was detected by mesenterial angiography. After resection of the colonic section concerned, the bleeding stopped. The diagnosis of angiodysplasia of the caecum was confirmed by pathological examination.