Multiple Polypoid Angiodysplasia with Obscure Overt Bleeding

Clinical Endoscopy 2016년 49권 1호 p.91 ~ p.96

이주영(Lee Joo-Young) - Seoul National University College of Medicine Department of Internal Medicine
황성욱(Hwang Sung-Wook) - Seoul National University College of Medicine Department of Internal Medicine
김지혜(Kim Ji-Hye) - Seoul National University College of Medicine Department of Internal Medicine
강진우(Kang Jin-Woo) - Seoul National University College of Medicine Department of Internal Medicine
강경훈(Kang Gyeong-Hoon) - Seoul National University College of Medicine Department of Pathology
박규주(Park Kyu-Joo) - Seoul National University College of Medicine Department of Surgery
임종필(Im Jong-Pil) - Seoul National University College of Medicine Department of Internal Medicine
김주성(Kim Joo-Sung) - Seoul National University College of Medicine Department of Internal Medicine

Abstract

Angiodysplasia (AD) is increasingly being recognized as a major cause of gastrointestinal bleeding. Morphologically flat lesions are common types of AD, whereas the polypoid types are rare. We report a case of multiple polypoid AD in the small bowel causing severe anemia and requiring surgical treatment. A 60-year-old male patient visited our hospital with dyspnea and hematochezia. He had a history of myocardial infarction and was taking both aspirin and clopidogrel. Capsule endoscopy, enteroscopy, computed tomography, and angiography revealed multifocal vascular lesions with a polypoid shape in the jejunum. Surgical resection was performed because endoscopic treatment was considered impossible with the number and the location of lesions. The risk of recurrent bleeding related to the use of antiplatelet agents also contributed to the decision to perform surgery. AD was histologically diagnosed from the surgical specimen. He resumed taking both aspirin and clopidogrel after surgery. He fully recovered and has been doing well during the several months of follow-up.

키워드

Angiodysplasia, Gastrointestinal hemorrhage, Capsule endoscopy
원문 및 링크아웃 정보
등재저널 정보
학술진흥재단(KCI) KoreaMed 대한의학회 회원 
주제코드
주제명(Target field)
연구대상(Population)
연구참여(Sample size)
대상성별(Gender)
질병특성(Condition Category)
연구환경(Setting)
연구설계(Study Design)
연구기간(Period)
중재방법(Intervention Type)
중재명칭(Intervention Name)
키워드(Keyword)
유효성결과(Recomendation)
Capsule endoscopy, enteroscopy, computed tomography, and angiography revealed multifocal vascular lesions with a polypoid shape in the jejunum.
연구비지원(Fund Source)
근거수준평가(Evidence Hierarchy)
출판년도(Year)
참여저자수(Authors)
대표저자
KCD코드
ICD 03
건강보험코드