Rare Case of Gastric Arteriovenous Malformation with Persistent Anemia in a Patient with Recurrent Arteriovenous Malformation Widespread in Gastrointestinal Tract
International Research Journal of Gastroenterology and Hepatology,
Page 96-103
Abstract
Arteriovenous malformation (AVM) is an abnormal entanglement of blood vessels. AVMs in the gastrointestinal (GI) tract is a rare condition and are often found incidentally during GI bleeding investigations. We present a case of a 57-year-old patient with chronic anemia who was diagnosed with AVM of the GI tract by colonoscopy treated with argon based laser therapy.Pt re-developed arteriovenous malformation in duodenum and ileum which are considered as unusual locations of this clinical entity. We also discussed pathogenesis, diagnosis, and reviewed available treatment options for GI AVMs.
Keywords:
- Arterio venous malformation
- anemia
- colonoscopy
How to Cite
Rayapureddy, A. K., Tamanna, N., Aziz, S. N., Sadek, A. H. M., & Chowdhury, T. (2022). Rare Case of Gastric Arteriovenous Malformation with Persistent Anemia in a Patient with Recurrent Arteriovenous Malformation Widespread in Gastrointestinal Tract. International Research Journal of Gastroenterology and Hepatology, 5(2), 96-103. Retrieved from https://journalirjgh.com/index.php/IRJGH/article/view/64
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Gawecki F, Strangeways T, Amin A, et al. Exercise capacity reflects airflow limitation rather than hypoxaemia in patients with pulmonary arteriovenous malformations. QJM. 2019;112:335–42.
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Miyasako Y, Kuwai T, Ishaq S. Case of a small intestinal arteriovenous malformation diagnosed by double-balloon enteroscopy preoperatively. Dig Endosc. 2019;31: e68–9.
Available:10.1111/den.13357
Cohen MM: Vasculogenesis, angiogenesis, hemangiomas, and vascular malformations. Am J Med Genet. 2002; 108:265–74.
Available:10.1002/ajmg.10260
Ng SC, Thomas-Gibson S, Harbin LJ, Gupta A, Gould SWT, Jacyna M. Gastric arteriovenous malformation: A rare cause of upper GI bleed. Gastrointestinal Endoscopy. 2009;69:155–6.
Available:10.1016/j.gie.2008.07.013
Moretó M, Figa M, Ojembarrena E, Zaballa M. Vascular malformations of the stomach and duodenum: an endoscopic classification. Endoscopy. 1986;18:227–9.
Available:10.1055/s-2007-1018385
Cotter J, Baldaia C, Ferreira M, Macedo G, Pedroto I. Diagnosis and treatment of iron-deficiency anemia in gastrointestinal bleeding: A systematic review. World Journal of Gastroenterology. 2020;26(45): 7242-7257.
DOI: 10.3748/wjg.v26.i45.7242
Serefhanoglu S, Buyukasik Y, Emmungil H, Sayinalp N, Haznedaroglu I, Goker H, et al. Identification of clinical and simple laboratory variables predicting responsible gastrointestinal lesions in patients with iron deficiency anemia. International Journal of Medical Sciences. 2011;8(1):30-38.
DOI: 10.7150/ijms.8.30
Park Y, Lee J, Cho B, Min W, Cheung D, Kim J. et al. Incidence and etiology of overt gastrointestinal bleeding in adult patients with aplastic anemia. Digestive Diseases And Sciences. 2009;55(1):73-81.
DOI: 10.1007/s10620-008-0702-3
Fujii T, Morita H, Sutoh T, Takada T, Tsutsumi S, Kuwano H. Arteriovenous malformation detected by small bowel endoscopy. Case Reports In Gastroenterology. 2014;8(3):324-328.
DOI: 10.1159/000367591
Lee J, Hwang S, Kim J, Kang J, Kang G, Park K, et al. Multiple polypoid angiodysplasia with obscure overt bleeding. Clinical Endoscopy. 2016; 49(1):91-96.
DOI: 10.5946/ce.2016.49.1.91
Chiu Y, Lu L, Wu K, Tam W, Hu M, Tai W, et al. Comparison of argon plasma coagulation in management of upper gastrointestinal angiodysplasia and gastric antral vascular ectasia hemorrhage. BMC Gastroenterology. 2012;12(1).
DOI: 10.1186/1471-230x-12-67
Kathi P, Tama M, Kundumadam S, Gulati D, Ehrinpreis M. Esophageal arteriovenous malformation, a rare cause of significant upper gastrointestinal bleeding: Case report and review of literature. Intractable &Amp; Rare Diseases Research. 2018; 7(3):196-199.
DOI: 10.5582/irdr.2018.01068
Park Y, Lee J, Cho B, Min W, Cheung D, Kim J, et al. Incidence and etiology of overt gastrointestinal bleeding in adult patients with aplastic anemia. Digestive Diseases And Sciences. 2009;55(1):73-81.
DOI: 10.1007/s10620-008-0702-3
Tortora A, Riccioni M, Gaetani E, Ojetti V, Holleran G, Gasbarrini A. Rendu-osler-weber disease: A gastroenterologist’s perspective. Orphanet Journal Of Rare Diseases. 2019; 14(1).
DOI: 10.1186/s13023-019-1107-4
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