AI Article Synopsis
- A 64-year-old man with intestinal Behçet's disease and myelodysplastic syndrome experienced severe gastrointestinal bleeding due to extensive colon ulceration.
- Colonoscopy revealed punched-out ulcers throughout the colon, and attempts at embolization failed to stop the bleeding.
- After surgical resection and unsuccessful control of the bleeding, intra-arterial prednisolone therapy was administered, leading to a gradual cessation of the hemorrhage.
Article Abstract
Major gastrointestinal bleeding is a rare manifestation of intestinal Behçet's disease. We report herein the case of a 64-year-old man with intestinal Beh,et's disease complicated by myelodysplastic syndrome who suffered massive hemorrhage. Colonoscopy demonstrated ulceration of the entire colon from the cecum to the rectum, characterized by punched-out ulcers. Angiography demonstrated apparent extravasation of contrast material in the terminal ileum, and embolization was not successful. Continued and massive bleeding necessitated surgical resection of the involved segment of ileum; however, massive bleeding recurred. Re-endoscopy showed oozing hemorrhage from the multiple colon ulcerations. Intra-arterial prednisolone injection therapy was given, following which the melena gradually subsided and completely stopped within a few days.
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