Korean J Gastrointest Endosc > Volume 28(4); 2004 > Article
Korean Journal of Gastrointestinal Endoscopy 2004;28(4): 197-201.
회장 말단의 혈관이형성증에 의한 하부장관 출혈
김안나·이종민·오재인·이계성
대전 선병원 내과
A Case of Lower Gastrointestinal Bleeding due to Angiodysplasia in the Terminal Ileum
Anna Kim, M.D., Jong Min Lee, M.D., Jane Oh, M.D. and Gye Sung Lee, M.D.
Department of Internal Medicine, Sun General Hospital, Daejeon, Korea
Abstract
Angiodysplasia has been recognized as an important cause of lower gastrointestinal bleeding, but it is difficult to confirm the lesions. Angiodysplasia in the small bowel could be the most probable cause of bleeding particularly in the elderly patients when usual methods fail to document the focus. Small bowel angiodysplasias have been diagnosed by angiography and/or surgery at the sites where usual endoscope could not reach, and treated by medical therapy, angiographic embolization or surgery. We experienced a case of a bleeding angiodysplasia in the terminal ileum in a 51-year-old man who was taking anti-platelet agents. The lesion was diagnosed by colonoscopy, and bleeding was easily controlled with hemoclipping. (Korean J Gastrointest Endosc 2004;28:197⁣201)
Key Words: Angiodysplasia, Lower gastrointestinal bleeding, Hemoclipping
주요어: 혈관이형성증, 하부장관 출혈, Hemoclipping
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