TY  - JOUR
A1  - Lubomierski, Nikolaus
A1  - Albert, Jörg Gerhard
T1  - A rare cause of recurrent melena was identified by capsule endoscopy: arteriovenous malformation
T2  - Video Journal and Encyclopedia of GI Endoscopy
N2  - 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.
KW  - Arteriovenous malformation
KW  - Balloon enteroscopy
KW  - Capsule endoscopy
KW  - Double-balloon enteroscopy
KW  - Endoscopy
KW  - Mid-intestinal bleeding
KW  - Small bowel
KW  - Video
Y1  - 2013
UR  - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/76852
UR  - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-768520
SN  - 2212-0971
VL  - 1
IS  - 1
SP  - 206
EP  - 207
PB  - Elsevier
CY  - Amsterdam
ER  -