Korean J Gastrointest Endosc.  1998 Jun;18(3):369-372.

A Case of the Massive Upper GI Bleeding from the Arteriovenous Malformation of Stomach

Affiliations
  • 1Department of Internal Medicine, College of Medicine, Chung-Ang University, Seoul, Korea.
  • 2Department of Radiology, College of Medicine, Chung-Ang University, Seoul, Korea.
  • 3Department of Surgery, College of Medicine, Chung-Ang University, Seoul, Korea.

Abstract

The arteriovenous malformation(AVM) of the gastrointestinal tract is a rare cause of gastrointestinal bleeding. With the increasing use of angiography over the past 30 years in the assessment of gastrointestinal bleeding, AVM has been more frequently recognized. There are few reports, however, about the arteriovenous malformation of stomach. From 1884, about 40 cases were reported all over the world. The clinical manifestation of gastric AVM are asymptomatic massive upper gastrointestinal bleeding or chronic iron deficiency anemia, The diagnosis of gastric AVM is difficult because of nonspecific findings using an endoscopy. This lesion is easily detected using a selective angiography. Furthermore, the therapeutic embolization of the feeding artery have a better chance for stopping the bleeding. In this paper we are reporting one case of gastric AV malformation, wherein rnassive UGI bleeding and dingnosis was made usmg a selective angiography. A review of literatmes was conducted to make this report possible.

Keyword

Arteriovenous malformation; Stomach; Angiography

MeSH Terms

Anemia, Iron-Deficiency
Angiography
Arteries
Arteriovenous Malformations*
Diagnosis
Embolization, Therapeutic
Endoscopy
Gastrointestinal Tract
Hemorrhage*
Stomach*
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