Angiodysplasia of upper gastrointestinal tract with coagulopathy.
A combination of duodenal telangiectasia with factor X deficiency presenting as recurrent malaena is rarely reported. Pylorus preserving pancreaticoduodenectomy done under cover of prothrombin complex resulted in complete recovery. Histopathology was consistent with angiomatosis. It is suggested that in managing a case of upper gastrointestinal bleeding, besides establishing the source of bleeding, it is important to detect underlying coagulopathy.
Akram
Saeed
S
Department of Medicine, Combined Military Hospital, Pano Aqil Cantt. drsaeedakram@yahoo.com
Sayed
Tahir Mukhtar
TM
D000328:Adult; D016888:Angiodysplasia / Q000150:complications / Q000175:diagnosis*; D001778:Blood Coagulation Disorders / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D005170:Factor X; D005500:Follow-Up Studies; D005767:Gastrointestinal Diseases / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006471:Gastrointestinal Hemorrhage / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008297:Male; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome
D005170:Factor X