Embolization of a Duodenal Arteriovenous Malformation in Hereditary Hemorrhagic Telangiectasia: Case Report and Review of the Literature

A 68-year-old man with hereditary hemorrhagic telangiectasia presented with recurrent, intermittent gastrointestinal hemorrhage. Transfusion of a total of 27 units of red blood cells was required over the three months before admission. Upper and lower endoscopy did not reveal a source of bleeding an...

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Main Authors: Phil Inouye, Norman Marcon, Robin A Pugash, Robert H Hyland, Marie E Faughnan
Format: Article
Language:English
Published: Wiley 2003-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/2003/170969
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author Phil Inouye
Norman Marcon
Robin A Pugash
Robert H Hyland
Marie E Faughnan
author_facet Phil Inouye
Norman Marcon
Robin A Pugash
Robert H Hyland
Marie E Faughnan
author_sort Phil Inouye
collection DOAJ
description A 68-year-old man with hereditary hemorrhagic telangiectasia presented with recurrent, intermittent gastrointestinal hemorrhage. Transfusion of a total of 27 units of red blood cells was required over the three months before admission. Upper and lower endoscopy did not reveal a source of bleeding and a technetium-labelled red blood cell scan was noncontributory. Angiography demonstrated a duodenal arteriovenous malformation originating from a superior mesenteric artery branch. Embolization of the arteriovenous malformation was performed with resolution of gastrointestinal hemorrhage and reduced requirement for blood transfusion. The utility of trans-catheter embolization in the management of duodenal arteriovenous malformations in hereditary hemorrhagic telangiectasia is discussed.
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series Canadian Journal of Gastroenterology
spelling doaj-art-ba6cda583b674eec81f4ed1462310f7d2025-02-03T05:53:55ZengWileyCanadian Journal of Gastroenterology0835-79002003-01-01171166166510.1155/2003/170969Embolization of a Duodenal Arteriovenous Malformation in Hereditary Hemorrhagic Telangiectasia: Case Report and Review of the LiteraturePhil Inouye0Norman Marcon1Robin A Pugash2Robert H Hyland3Marie E Faughnan4Department of Medicine, University of Toronto, CanadaDivision of Gastroenterology, Department of Medicine, St Michael’s Hospital, University of Toronto, CanadaDepartment of Medical Imaging, University of Toronto, Department of Medical Imaging, Sunnybrook and Women’s College Health Sciences Centre, CanadaDivision of Respiratory Medicine, Department of Medicine, St Michael’s Hospital, University of Toronto, CanadaDivision of Respiratory Medicine, Department of Medicine, St Michael’s Hospital, University of Toronto, CanadaA 68-year-old man with hereditary hemorrhagic telangiectasia presented with recurrent, intermittent gastrointestinal hemorrhage. Transfusion of a total of 27 units of red blood cells was required over the three months before admission. Upper and lower endoscopy did not reveal a source of bleeding and a technetium-labelled red blood cell scan was noncontributory. Angiography demonstrated a duodenal arteriovenous malformation originating from a superior mesenteric artery branch. Embolization of the arteriovenous malformation was performed with resolution of gastrointestinal hemorrhage and reduced requirement for blood transfusion. The utility of trans-catheter embolization in the management of duodenal arteriovenous malformations in hereditary hemorrhagic telangiectasia is discussed.http://dx.doi.org/10.1155/2003/170969
spellingShingle Phil Inouye
Norman Marcon
Robin A Pugash
Robert H Hyland
Marie E Faughnan
Embolization of a Duodenal Arteriovenous Malformation in Hereditary Hemorrhagic Telangiectasia: Case Report and Review of the Literature
Canadian Journal of Gastroenterology
title Embolization of a Duodenal Arteriovenous Malformation in Hereditary Hemorrhagic Telangiectasia: Case Report and Review of the Literature
title_full Embolization of a Duodenal Arteriovenous Malformation in Hereditary Hemorrhagic Telangiectasia: Case Report and Review of the Literature
title_fullStr Embolization of a Duodenal Arteriovenous Malformation in Hereditary Hemorrhagic Telangiectasia: Case Report and Review of the Literature
title_full_unstemmed Embolization of a Duodenal Arteriovenous Malformation in Hereditary Hemorrhagic Telangiectasia: Case Report and Review of the Literature
title_short Embolization of a Duodenal Arteriovenous Malformation in Hereditary Hemorrhagic Telangiectasia: Case Report and Review of the Literature
title_sort embolization of a duodenal arteriovenous malformation in hereditary hemorrhagic telangiectasia case report and review of the literature
url http://dx.doi.org/10.1155/2003/170969
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