Gut Liver.  2008 Sep;2(2):126-129.

Hematochezia with Colonic Polypoid Angiodysplasia in a Young Female Patient

Affiliations
  • 1Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. hjpark21@yumc.yonsei.ac.kr
  • 2Department of Pathology, Yonsei University College of Medicine, Seoul, Korea.

Abstract

A 18-year-old girl visited the hospital due to hematochezia. Colonoscopy revealed a 6-mm Yamada type II polyp with stigmata of bleeding, and a shallow ulcer on top was found at the cecum base. The polyp was removed by snare polypectomy, and hematochezia stopped thereafter. Angiodysplasia was diagnosed histopathologically. Generally, angiodysplasia appears as a flat or elevated, bright-red lesion on endoscopy, with a polypoid shape being extremely rare. This case is significant because the lesion occurred at the youngest reported age and was the smallest that has been reported, and is the only polypoid arteriovenous malformation to be discovered in the cecum.

Keyword

Hematochezia; Angiodysplasia; Polyp; Cecum; Young

MeSH Terms

Adolescent
Angiodysplasia
Arteriovenous Malformations
Cecum
Christianity
Colon
Colonoscopy
Endoscopy
Female
Gastrointestinal Hemorrhage
Hemorrhage
Humans
Polyps
SNARE Proteins
Ulcer
SNARE Proteins
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