A rare cause of recurrent melena was identified by capsule endoscopy: arteriovenous malformation
- Small bowel endoscopy is indicated for patients with an unidentified bleeding site in esophagogastroduodenoscopy and ileocolonoscopy and symptoms of intestinal blood loss or unexplained anemia. In approximately two-thirds of these cases, capsule endoscopy (CE) detects a lesion within the small bowel that explains the patient's symptoms. The case of an 80-year-old female patient with recurrent melena and anemia is presented here by the authors. Endoscopy of the upper gastrointestinal tract as well as ileocolonoscopy did not show any pathological findings. CE revealed an area with abnormal mucosa in the middle third of the small bowel, which was strongly suspected of having malignant origin. Surgical exploration led to resection of a small jejunal segment with a palpable mass and increased blood flow. Surprisingly, the final diagnosis determined by the pathologist was arteriovenous malformation (AVM). This article is part of an expert video encyclopedia.
Author: | Nikolaus LubomierskiGND, Jörg Gerhard AlbertORCiDGND |
---|---|
URN: | urn:nbn:de:hebis:30:3-768520 |
DOI: | https://doi.org/10.1016/S2212-0971(13)70087-6 |
ISSN: | 2212-0971 |
Parent Title (English): | Video Journal and Encyclopedia of GI Endoscopy |
Publisher: | Elsevier |
Place of publication: | Amsterdam |
Document Type: | Article |
Language: | English |
Year of Completion: | 2013 |
Year of first Publication: | 2013 |
Publishing Institution: | Universitätsbibliothek Johann Christian Senckenberg |
Release Date: | 2023/10/05 |
Tag: | Arteriovenous malformation; Balloon enteroscopy; Capsule endoscopy; Double-balloon enteroscopy; Endoscopy; Mid-intestinal bleeding; Small bowel; Video |
Volume: | 1 |
Issue: | 1 |
Page Number: | 2 |
First Page: | 206 |
Last Page: | 207 |
HeBIS-PPN: | 513655786 |
Institutes: | Medizin |
Dewey Decimal Classification: | 6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit |
Sammlungen: | Universitätspublikationen |
Licence (German): | Creative Commons - CC BY-NC-ND - Namensnennung - Nicht kommerziell - Keine Bearbeitungen 4.0 International |