An unusual case of colonic angiodysplasia

An unusual case of a colonic vascular anomaly resembling angiodysplasia associated with right sided diverticular disease is presented. The patient, a 74 year old man, presented with a four day history of rectal bleeding and subsequently underwent hemicolectomy. The resected specimen was flushed out...

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Veröffentlicht in:Journal of clinical pathology 1995-03, Vol.48 (3), p.272-275
Hauptverfasser: Trendell-Smith, N J, Warren, B F, Sheffield, E A, Durdey, P
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container_title Journal of clinical pathology
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creator Trendell-Smith, N J
Warren, B F
Sheffield, E A
Durdey, P
description An unusual case of a colonic vascular anomaly resembling angiodysplasia associated with right sided diverticular disease is presented. The patient, a 74 year old man, presented with a four day history of rectal bleeding and subsequently underwent hemicolectomy. The resected specimen was flushed out with heparin-saline solution and injected with a barium-gelatine mixture. Preoperative barium enema revealed right sided diverticula, whereas post-resection angioradiography revealed the "coral reef" vascular anomaly consistent with angiodysplasia. Histology confirmed the presence of both diverticular disease and angiodysplasia. This case report highlights the importance of considering a vascular anomaly in patients presenting with rectal bleeding despite the presence of another radiologically demonstrable anatomical lesion.
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The patient, a 74 year old man, presented with a four day history of rectal bleeding and subsequently underwent hemicolectomy. The resected specimen was flushed out with heparin-saline solution and injected with a barium-gelatine mixture. Preoperative barium enema revealed right sided diverticula, whereas post-resection angioradiography revealed the "coral reef" vascular anomaly consistent with angiodysplasia. Histology confirmed the presence of both diverticular disease and angiodysplasia. 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subjects Aged
Angiodysplasia - complications
Angiodysplasia - diagnostic imaging
Angiodysplasia - pathology
Biological and medical sciences
Colonic Diseases - complications
Colonic Diseases - diagnostic imaging
Colonic Diseases - pathology
Diverticulum - complications
Diverticulum - congenital
Gastroenterology. Liver. Pancreas. Abdomen
Gastrointestinal Hemorrhage - etiology
Humans
Male
Medical sciences
Other diseases. Semiology
Radiography
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
title An unusual case of colonic angiodysplasia
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