Endolotherapy of massive bleeding from the small intestinal angiodysplasia in 80-year-old patient

M. Kawamura, K. Shimizu, Michiyo Takayama, Hiroyuki Ishida, S. Honma, M. Tani, N. Hirose, Y. Nakamura

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Angiodysplasia is one cause of chronic gastrointestinal tract bleeding that can not be difficult to detect. In particular, angiodysplasia in the small intestine is very rare and has seldom been reported. An 80-year-old man complained of hematochezia and was admitted to another hospital in October 1991. However, no bleeding sites in the gastrointestinal tract could be revealed by radiographic and endoscopic examinations. After 8 months, he was admitted to our hospital with the same symptom on June 1992. He suffered hemorrhagic shock due to continuous bleeding. Hypotension and anemia progressed in spite of immediate blood transfusion. Emergency angiography revealed extravasation from a peripheral branch of the jejunal artery, in addition tortuous and dilated ileal arteries. Embolization was performed with the catheter inserted superselectively into the nearest arcade of the segmental branch of the vasa recta. After embolization, no complications occurred. He was discharged and is being followed up as an outpatient.

Original languageEnglish
Pages (from-to)969-973
Number of pages5
JournalJapanese Journal of Geriatrics
Volume30
Issue number11
Publication statusPublished - 1993

Fingerprint

Angiodysplasia
Hemorrhage
Gastrointestinal Tract
Arteries
Gastrointestinal Hemorrhage
Hemorrhagic Shock
Rectum
Blood Transfusion
Hypotension
Small Intestine
Anemia
Angiography
Emergencies
Outpatients
Catheters

Keywords

  • angiodysplasia
  • embolization
  • intestinal bleeding

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Endolotherapy of massive bleeding from the small intestinal angiodysplasia in 80-year-old patient. / Kawamura, M.; Shimizu, K.; Takayama, Michiyo; Ishida, Hiroyuki; Honma, S.; Tani, M.; Hirose, N.; Nakamura, Y.

In: Japanese Journal of Geriatrics, Vol. 30, No. 11, 1993, p. 969-973.

Research output: Contribution to journalArticle

Kawamura, M, Shimizu, K, Takayama, M, Ishida, H, Honma, S, Tani, M, Hirose, N & Nakamura, Y 1993, 'Endolotherapy of massive bleeding from the small intestinal angiodysplasia in 80-year-old patient', Japanese Journal of Geriatrics, vol. 30, no. 11, pp. 969-973.
Kawamura, M. ; Shimizu, K. ; Takayama, Michiyo ; Ishida, Hiroyuki ; Honma, S. ; Tani, M. ; Hirose, N. ; Nakamura, Y. / Endolotherapy of massive bleeding from the small intestinal angiodysplasia in 80-year-old patient. In: Japanese Journal of Geriatrics. 1993 ; Vol. 30, No. 11. pp. 969-973.
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AU - Tani, M.

AU - Hirose, N.

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