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Colonic Polypoid Arteriovenous Malformation Causing Symptomatic Anemia
Allison Rzepczynski1, Jason Kramer2, Shriram Jakate3
1Department of Internal Medicine, Rush University Medical Center, Chicago, IL.
Arteriovenous malformations (AVMs) are rare causes of lower GI bleeding. This case study details a unique polypoid colonic AVM successfully treated with endoscopic resection, offering insights into managing these unusual vascular lesions.
Area of Science:
- Gastroenterology
- Vascular Surgery
- Endoscopy
Background:
- Vascular ectasias, including arteriovenous malformations (AVMs), constitute about 3% of lower gastrointestinal bleeding cases.
- Colonic AVMs typically present as solitary, large, flat, or elevated red lesions during endoscopic examination.
Observation:
- A rare case of a polypoid, ulcerated AVM in the transverse colon was identified.
- The patient presented with symptomatic anemia attributed to the colonic AVM.
Findings:
- The polypoid colonic AVM was successfully resected using endoscopic techniques.
- Post-resection, the patient's symptoms of anemia resolved, confirming the effectiveness of the intervention.
Implications:
- This case underscores the rarity of polypoid colonic AVMs, with only 15 previously reported instances.
- The successful endoscopic management highlights a viable approach for these uncommon gastrointestinal vascular lesions.
- Further understanding of endoscopic management strategies for rare colonic AVM presentations is warranted.
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