Right colon angiodysplasia and lower limb chronic obstructive arteropathy: simultaneous endovascular treatment

نویسندگان

  • G Patrizi
  • M Fazi
  • L Fiengo
  • G Di Rocco
  • F Pelle
  • D Giannotti
  • L Venturini
  • F Frezzotti
  • R Giordano
  • A Redler
  • FM Salvatori
چکیده

Background Intestinal angiodyspalsia is a vascular artero-venous malformation of the enteric wall smaller than 1 cm whose main symptom is enterorrhagy. Diagnosis is based on colonoscopy and mesenteric selective arteriography. Recently, spiral angio-CT has reached a good diagnostic sensitivity and specificity. Radical treatment is still surgical resection. Endoscopic approaches are frequently employed even though relapse of hemorrhage and perforation can occur. Super-selective embolization represents another possible therapeutic option, despite the low risk of segmentary intestinal ischemia.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Recurrent lower gastrointestinal bleeding due to angiodysplasia in the rectum: endoscopic treatment with heater probe

Lower gastrointestinal bleeding due to vascular abnormalities is commonly found in the elderly and on the right side of the colon. Such lesions are still difficult to diagnose and manage. We report a case with recurrent and massive lower gastrointestinal bleeding due to angiodysplasia at an unusual age and localization, which was diagnosed and treated endoscopically.

متن کامل

Isolated Jejunal Angiodysplasia: A Rare Cause of Massive Lower Gastrointestinal Bleeding Requiring Surgical Resection with an Unexpected Localization

Angiodysplasias are most commonly observed in the cecum and ascending colon. The number of cases with angiodysplasias in the jejunum is very few. The endovascular transcatheter embolization method can be used in cases of lower gastrointestinal tract bleeding when endoscopy is not effective. According to the nature of lesion and source of bleeding, embolization is performed using the appropriate...

متن کامل

Diffuse unilateral pediatric arteriopathy: successful treatment with repeated angioplasty.

We report a three-year-old girl exhibiting severe long-segment stenoses and occlusions with diffuse arterial involvement of the upper and lower extremities on the right side. The obstructive lesions, which caused atrophy of the right limb and chronic ulceration of the foot, were treated successfully with repeated percutaneous transluminal angioplasty. Obstructive peripheral arte...

متن کامل

Angiodysplasia — Symptoms and Treatment

Angiodysplasia describes abnormal vascular malformations found in the gastrointestinal (GI) tract, especially in the cecum and right colon. These malformations are prone to bleed and may be responsible for painless hematochezia, melena and concomitant anemia. Diagnosis can be made by direct visualization during endoscopy or angiography. Treatment consists of endoscopic interventions, including ...

متن کامل

Tailored treatment of intestinal angiodysplasia in elderly

BACKGROUND Angiodysplasia of the gastrointestinal tract is an uncommon, but not rare, cause of bleeding and severe anemia in elderly. Different treatments exist for this kind of pathology. METHODS The aim of this work was to study 40 patients treated for intestinal angiodysplasia with two different kind of endoscopic treatments: argon plasma coagulation (APC) and bipolar electrocoagulation (B...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:

دوره 11  شماره 

صفحات  -

تاریخ انتشار 2011