Publication: Arteriovenous Malformations in Proximal Part of Ileum: A Case Report
Date
2021
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract:
Arteriovenous malformations in the ileum are a rare cause of gastrointestinal bleeding in young adults with few reported cases and pose difficulty in diagnosing. They usually present with chronic gastrointestinal bleed. A 30-year-old woman presented with an acute episode of hematochezia with a history of intermittent melena for 1.5 years. Complete blood count revealed a low hemoglobin level of 3.5g/dl and hypochromic microcytic anemia. Oesophago-gastro-duodenoscopy was normal; however, a colonoscopy revealed the terminal ileum and colon filled with blood. Computed tomography-Angiogram showed local intraluminal contrast extravasation in the ileum. Explorative laparotomy and on-table enteroscopy were performed identifying a small elevated, pigmented, and eroded mucosa (5 to 6 mm) in proximal ileum; resection and primary anastomosis were performed. The patient was followed after surgical resection and her symptoms improved dramatically with no additional episodes of melena and with the normalization of hemoglobin.
Description
Saad Saeed
Hayatabad Medical Complex, Pakistan
https://orcid.org/0000-0003-2317-3978
Sidra Naz
University of Health Science, Lahore, Pakistan
https://orcid.org/0000-0001-6390-9658
Abbas Iqbal
Ayub Teaching Hospital, Pakistan
https://orcid.org/0000-0002-5447-3693
Maryam Irfan
Hayatabad Medical Complex, Pakistan
Shahab Khan
Khyber Teaching Hospital, Peshawar, Pakistan
https://orcid.org/0000-0001-9462-249X
Vikash Jaiswal
AMA School of Medicine, Makati, Philippines
https://orcid.org/0000-0002-2021-1660
Asmita Neupane
Kathamndu Medical College Teaching Hospital, Sinamangal, Kathmandu, Nepal
Keywords
arteriovenous malformation, enteroscopy, ileum