Colonic haemorrhage from solitary submucosal vessels diagnosed by lower gastrointestinal Doppler-endoscopy.
The case of a 21-year-old woman presenting with acute gastrointestinal haemorrhage is reported. By means of Doppler-endoscopy, a solitary minute polyp located in the proximal ascending colon, which revealed arterial pulsation, was detected, and removed with the aid of forceps. The histological work-up revealed thick-walled, in part dilated, vessels located in the lamina propria and in the submucosa. Following endoscopic sclerotherapy, the patient has now been haemorrhage-free for the past 6 months. The lesion is very probably a Dieulafoy-like erosion, an entity which was previously known only in the stomach and jejunum, but which in more recent times has also been observed in the colon.
D000328:Adult; D001158:Arteries / Q000473:pathology; D003106:Colon / Q000098:blood supply; D003111:Colonic Polyps / Q000473:pathology*; D020685:Colonoscopes; D003113:Colonoscopy; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000473:pathology*; D006801:Humans; D007413:Intestinal Mucosa / Q000473:pathology; D014463:Ultrasonography / Q000295:instrumentation