Multiple angiodysplasia diagnosed by capsule endoscopy
Case Report

Multiple angiodysplasia diagnosed by capsule endoscopy

Giulia Diamantini, Giovanni Battista Levi Sandri, Fabio Procacciante

Department of General and Endocrine Surgery, Umberto I Policlinic of Rome, Sapienza University of Rome, Rome, Italy

Correspondence to: Giovanni Battista Levi Sandri, MD. Department of General and Endocrine Surgery, Umberto I Policlinic of Rome, Sapienza University of Rome, Rome, Italy. Email: gblevisandri@gmail.com.

Abstract: A 28-year-old Caucasian man was admitted in our unit for acute massive rectal bleeding. Past medical and family history was unremarkable. Hemoglobin was 7.6 g/dL. Blood transfusions were required. Computed tomography and gastrointestinal endoscopy were negative for active bleeding. When patient’s hemoglobin was normalized and stable, a video capsule endoscopy was performed. Video relieved the presence of multiple digiunal and ileal angiodysplastic lesions. A double endoscopic argon plasma coagulation procedure was planned on general anaesthesia. Upper and rectal operative approach were performed. Procedure was uneventful. After 2 years follow-up patient had no recurrence of gastrointestinal bleeding.

Keywords: Angiodysplasia; video capsule endoscopy; argon plasma coagulation; gastrointestinal bleeding


Submitted May 30, 2016. Accepted for publication Jul 26, 2016.

doi: 10.21037/jgo.2016.09.08


A 28-year-old Caucasian man was admitted in our unit for acute massive rectal bleeding. Past medical and family history was unremarkable. Hemoglobin was 7.6 g/dL. Blood transfusions were required. Computed tomography and gastrointestinal endoscopy were negative for active bleeding. When patient’s hemoglobin was normalized and stable, a video capsule endoscopy was performed. Video relieved the presence of multiple digiunal and ileal angiodysplastic lesions (Figure 1). A double endoscopic argon plasma coagulation procedure was planned on general anaesthesia. Upper and rectal operative approach were performed. Procedure was uneventful. After 2 years follow-up patient had no recurrence of gastrointestinal bleeding.

Figure 1 Multiple angiodysplasia diagnosed by capsule endoscopy (1). Available online: http://www.asvide.com/articles/1354

Acknowledgements

None.


Footnote

Conflicts of Interest: The authors have no conflicts of interest to declare.

Informed Consent: Written informed consent was obtained from the patient for publication of this manuscript and any accompanying images.


References

  1. Diamantini G, Levi Sandri GB, Procacciante F. Multiple angiodysplasia diagnosed by capsule endoscopy. Asvide 2017;4:047. Available online: http://www.asvide.com/articles/1354
Cite this article as: Diamantini G, Levi Sandri GB, Procacciante F. Multiple angiodysplasia diagnosed by capsule endoscopy. J Gastrointest Oncol 2017;8(1):E3. doi: 10.21037/jgo.2016.09.08