Colonic Angiodysplasia with a Huge Submucosal Hematoma in the Sigmoid Colon
Colonic angiodysplasia (AD) with bleeding as a comorbidity in the aging population is being increasingly reported. However, to our knowledge, there is no report on colonic AD accompanied by a huge hematoma. Herein, we report a case of colonic AD with a huge submucosal hematoma. A 75-year-old man wit...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2016/3457367 |
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| author | Takayuki Shimizu Daisuke Koike Yukihiro Nomura Kenji Ooe |
| author_facet | Takayuki Shimizu Daisuke Koike Yukihiro Nomura Kenji Ooe |
| author_sort | Takayuki Shimizu |
| collection | DOAJ |
| description | Colonic angiodysplasia (AD) with bleeding as a comorbidity in the aging population is being increasingly reported. However, to our knowledge, there is no report on colonic AD accompanied by a huge hematoma. Herein, we report a case of colonic AD with a huge submucosal hematoma. A 75-year-old man with sudden melena was referred to our hospital. Helical computed tomographic angiography (CTA) revealed bleeding from the sigmoid colon. Additionally, colonoscopy showed a huge submucosal hematoma with bleeding in the sigmoid colon. As endoscopic hemostasis was difficult, sigmoidectomy was performed. The pathological diagnosis was colonic AD. The present case indicates that colonic AD should be considered in the differential diagnosis for melena. In addition, the case shows that helical CTA, which is a noninvasive imaging modality, is useful for the diagnosis of colonic AD and is as effective as colonoscopy and angiography for diagnosis. |
| format | Article |
| id | doaj-art-3e9e049a949a432b85de3b91eeeba301 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-3e9e049a949a432b85de3b91eeeba3012025-02-03T00:59:28ZengWileyCase Reports in Surgery2090-69002090-69192016-01-01201610.1155/2016/34573673457367Colonic Angiodysplasia with a Huge Submucosal Hematoma in the Sigmoid ColonTakayuki Shimizu0Daisuke Koike1Yukihiro Nomura2Kenji Ooe3Department of Surgery, Asahi General Hospital, I-1326, Chiba 289-2515, JapanDepartment of Surgery, Asahi General Hospital, I-1326, Chiba 289-2515, JapanDepartment of Surgery, Asahi General Hospital, I-1326, Chiba 289-2515, JapanDepartment of Clinical Pathology, Asahi General Hospital, I-1326, Chiba 289-2515, JapanColonic angiodysplasia (AD) with bleeding as a comorbidity in the aging population is being increasingly reported. However, to our knowledge, there is no report on colonic AD accompanied by a huge hematoma. Herein, we report a case of colonic AD with a huge submucosal hematoma. A 75-year-old man with sudden melena was referred to our hospital. Helical computed tomographic angiography (CTA) revealed bleeding from the sigmoid colon. Additionally, colonoscopy showed a huge submucosal hematoma with bleeding in the sigmoid colon. As endoscopic hemostasis was difficult, sigmoidectomy was performed. The pathological diagnosis was colonic AD. The present case indicates that colonic AD should be considered in the differential diagnosis for melena. In addition, the case shows that helical CTA, which is a noninvasive imaging modality, is useful for the diagnosis of colonic AD and is as effective as colonoscopy and angiography for diagnosis.http://dx.doi.org/10.1155/2016/3457367 |
| spellingShingle | Takayuki Shimizu Daisuke Koike Yukihiro Nomura Kenji Ooe Colonic Angiodysplasia with a Huge Submucosal Hematoma in the Sigmoid Colon Case Reports in Surgery |
| title | Colonic Angiodysplasia with a Huge Submucosal Hematoma in the Sigmoid Colon |
| title_full | Colonic Angiodysplasia with a Huge Submucosal Hematoma in the Sigmoid Colon |
| title_fullStr | Colonic Angiodysplasia with a Huge Submucosal Hematoma in the Sigmoid Colon |
| title_full_unstemmed | Colonic Angiodysplasia with a Huge Submucosal Hematoma in the Sigmoid Colon |
| title_short | Colonic Angiodysplasia with a Huge Submucosal Hematoma in the Sigmoid Colon |
| title_sort | colonic angiodysplasia with a huge submucosal hematoma in the sigmoid colon |
| url | http://dx.doi.org/10.1155/2016/3457367 |
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