[Jejunal angiodysplasia as a cause of obscure gastrointestinal bleeding].
BACKGROUND
Obscure gastrointestinal bleeding secondary to jejunal angiodysplasia is uncommon. Diagnostic approach is difficult and represents a challenge for the surgeon because of the inaccessibility of the small bowel for evaluation. When the diagnostic work-up has been completed and the bleeding source has not been found, it is mandatory to perform a surgical exploration with transoperative enteroscopy in order to locate the source of the hemorrhage and for further treatment.


METHODS
We report the case of a 24-year-old male with massive gastrointestinal bleeding secondary to jejunal angiodysplasia in whom an intraoperative enteroscopy was done to locate the source of bleeding and subsequently resect the affected small bowel. There are actually some non-surgical therapies for patients with high risk of complications. When patients' conditions are optimal, surgical resection is mandatory to avoid recurrence of future bleeding.
Sánchez-Pérez
Miguel Angel
MA
Department of Surgery, American British Cowdray Medical Center, México, D.F. México. wfrguitarma@hotmail.com
Moreno-Paquentín
Eduardo
E
Muñoz-Juárez
Manuel
M
Luque-de León
Enrique
E
Chaparro-González
Juan Manuel
JM
Torreblanca-Marín
Mario Alfredo
MA
D016888:Angiodysplasia / Q000150:complications* / Q000601:surgery; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007579:Jejunal Diseases / Q000150:complications* / Q000601:surgery; D008297:Male; D055815:Young Adult