A case with rectosigmoid diffuse angiodysplasias

Abstract

In a 48 years-old male, diffuse angiodysplasias were observed in rectum and rectosigmoid regions (25-30 cm.), following a total colonoscopy due to massive rectal bleeding. Coagulation with heater probe was applied on most of the angiodysplasic lesions and the bleeding stopped. Inferior and superior selective mesenteric angiography and MR angiography were found normal. Recurrent bleeding did not occur. In control colonoscopic examination, it was observed that most of the angiodysplasic lesions disappared. The present case is presented due to the fact that angiodysplasic lesions are rare in rectum and the rectosigmoid regions, and gastrointestinal vascular abnormalities are reviewed.

Özet

48 yaşında erkek hastaya massif rektal kanama nedeniyle yapılan total kolonoskopide, rektum ve rektosigmoid bölgede (25-30 cm.) diffüz anjiodisplazik lezyonlar görüldü. Heater probe ile anjiodisplazik lezyonların çoğuna koagülasyon uygulanarak kanama durduruldu, inferior ve superior selektif mezenterik anjiografi ve MR anjiografi normaldi. İşlem sonrası tekrar kanama görülmedi. Kontrol kolonoskopik tetkikte anjiodisplaziler büyük bir oranda kaybolmuştu. Rektum ve rektosigmoid bölgede anjiodisplazik lezyonlar nadir olduğundan olgu sunularak gastrointestinal vasküler anomaliler gözden geçirildi.