Clin Endosc.  2014 Nov;47(6):575-578. 10.5946/ce.2014.47.6.575.

Polypoid Arteriovenous Malformation Presenting with Jejunojejunal Intussusceptions in an Adult

Affiliations
  • 1Department of Gastroenterology, Asan Digestive Disease Research Institute, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. ji110@hanmail.net
  • 2Department of Pathology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Abstract

Jejunal polypoid arteriovenous malformations (AVMs) and jejunojejunal intussusceptions are both rare. Here, we present the case of a 61-year-old woman who suffered intermittent episodes of abdominal pain over the course of 13 years. A computed tomography scan of her abdomen and pelvis revealed a distal jejunojejunal intussusception. A suspected low density mass was observed at the tip of the intussusception. Treatment comprised laparoscopic small bowel resection with end-to-end jejunostomy. The final diagnosis was a polypoid AVM measuring 5x3.5x3 cm. We suggest that polypoid AVM should be considered as a differential diagnosis in patients presenting with small intestinal neoplasms.

Keyword

Abdominal pain; Arteriovenous malformations; Jejunum; Intussusception; Polypoid arteriovenous malformation
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