Obscure gastrointestinal (GI) bleeding is relatively common but difficult to manage. By definition, diagnosis of a specific etiology is particularly challenging. We report the diagnostic use of provocative angiography in a patient with recurrent obscure GI bleeding. Although provocative angiography led to localization of bleeding and allowed specific treatment (placement of a 2-mm long, 0.010-inch diameter platinum coil, resulting in cessation of bleeding for 2 months), ultimately, the use of provocative angiography delayed specific diagnosis in our patient. We conclude that provocative angiography is a potentially powerful adjunct in the management of obscure GI bleeding, but that caution is required when using it. Provocative angiography should be reserved for patients who have had adequate imaging studies with negative results.
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Cureus
November 2024
Department of Cardiology, Aizawa Hospital, Matsumoto, JPN.
This case report describes a 15-year-old boy who presented with vasospastic angina (VSA). His symptoms included chest and back pain, nausea, and respiratory distress. After undergoing diagnostic tests, including coronary angiography and an acetylcholine provocation test, the patient was diagnosed with VSA.
View Article and Find Full Text PDFDiagnostics (Basel)
November 2024
Faculty of Medicine, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iași, Romania.
Cardiol J
December 2024
Department of Cardiology, Chonnam National University Hospital, Gwangju, Korea.
J Cardiol Cases
November 2024
Department of Cardiology, Ako City Hospital, Ako, Hyogo, Japan.
Unlabelled: Corticosteroids have emerged as a feasible treatment option for patients with refractory vasospastic angina (VSA) who have an allergic disease or hypereosinophilia. However, reports on VSA following the administration of corticosteroids are scarce. Herein, we present the rare case of a 49-year-old Japanese man who developed VSA while receiving corticosteroids for treatment of autoimmune hepatitis.
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