Endolotherapy of Massive Bleeding from the Small Intestinal Angiodysplasia in 80-year-old Patient

Masahide Kawamura, Ken ichirou Shimizu, Michiko Takayama, Hiroyuki Ishida, Satoki Honma, Masato Tani, Nobuyoshi Hirose, Yoshiro Nakamura

研究成果: Article査読

5 被引用数 (Scopus)

抄録

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 other hospital on 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 were occurred. He was discharged and is being followed up as an outpatient.

本文言語English
ページ(範囲)969-973
ページ数5
ジャーナルNippon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics
30
11
DOI
出版ステータスPublished - 1993

ASJC Scopus subject areas

  • 老年医学

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