Korean Journal of Gastrointestinal Endoscopy 1999;19(3): 469-472.
대량 출혈을 동반한 대장 혈관 이형성증 1 예 ( A Case of Colonic Angiodysplasia in Massive Lower Gastrointestinal Bleeding )
이동렬, 이규환, 김대영, 조진훈, 김강희, 박희욱, 옥종한 (Dong Lyeol Lee, Kyu Hwan Lee, Dae Young Kim, Jin Hun Jo, Kang Hee Kim, Hee Ook Park and Jong Han Ook)
Abstract
Colonic angiodysplasia is important because of the likelihood of lower gastrointestinal tract bleeding, either massively or chronically. A 66-year-old male patient visited our hospital because of hematochezia and lower abdominal discomfort. He underwent colonoscopy, which revealed 0.5 cm sized, cherry red colored, branching, ozzing vessel with fern-like margin on cecum. Although he received endoscopic injection therapy with hypertonic saline and oral estrogen-progesterone therapy, subsequent ileocecal resection was performed due to recurrent bleeding. Histology of the resected specimen showed irregularly dilated, distorted, thin-walled vessels in submucosa. (Korean J Gastrointest Endosc 19: 469∼472, 1999)