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Incidental diagnosis of gastric antral vascular ectasia in a case of chronic kidney disease from Nepal: a case report.
J Med Case Rep
October 2024
Department of Gastroenterology, Nepal Medical College and Teaching Hospital, Kathmandu, Nepal.
Article Synopsis
- Gastric antral vascular ectasia is a rare condition that primarily causes severe gastrointestinal bleeding in older adults, particularly affecting the gastric antrum, and is uncommon among patients undergoing hemodialysis for chronic kidney disease.
- A case is presented involving a 71-year-old male from Nepal who was diagnosed with this condition alongside erosive gastritis after experiencing symptoms like melena and fatigue, leading to a low hemoglobin level and the need for blood transfusion.
- Diagnosis was confirmed through an upper gastrointestinal endoscopy, and despite initial management, advanced treatment like argon plasma coagulation was required at a different facility due to limited resources.
Jejunal Angiodysplasia as an Unusual Cause of Hemorrhage After Hepaticojejunostomy.
Cureus
June 2024
Surgery, King George's Medical University, Lucknow, IND.
Ectopic variceal bleeding is a rare cause of postoperative hemorrhage following hepaticojejunostomy and should be differentiated from other causes such as pseudoaneurysms or ulcers. Uncommon complications post-hepaticojejunostomy demand scrupulous attention, and this case report reveals a seldom-documented scenario of jejunal angiodysplasia as an elusive cause of postoperative bleeding. Through a comprehensive examination of the patient's clinical trajectory, diagnostic challenges, and subsequent management, this report contributes to the expanding knowledge base on atypical vascular complications in surgical settings.
View Article and Find Full Text PDFAn unusual cause of gastrointestinal bleeding: "Watermelon stomach".
Am J Med Sci
August 2024
Department of Gastroenterology and Hepatology, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China; The School of Clinical Medicine, Fujian Medical University, Fuzhou, China. Electronic address:
A career in solving clinical-pathological conundrums: Heyde syndrome, anti-platelet factor 4 disorders, and microvascular limb ischemic necrosis.
Int J Lab Hematol
May 2024
Department of Pathology and Molecular Medicine, and Department of Medicine, McMaster University, Hamilton, Ontario, Canada.
Hematology is a clinical specialty with strong roots in the laboratory; accordingly, the lab can help solve perplexing clinical problems. This review highlights clinical-pathological conundrums addressed during my 35-year hematology career at McMaster University. Heyde syndrome is the association between aortic stenosis and bleeding gastrointestinal (GI) angiodysplasia where the bleeding is usually cured by aortic valve replacement; the chance reading of a neonatal study showing reversible deficiency of high-molecular-weight (HMW) multimers of von Willebrand factor (vWF) following surgical correction of congenital heart disease provided the key insight that a subtle deficiency of HMW multimers of vWF explains Heyde syndrome.
View Article and Find Full Text PDFCecal Dieulafoy lesion is a rare cause of lower gastrointestinal bleeding: A case report.
SAGE Open Med Case Rep
October 2023
Division of General Internal Medicine, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
Dieulafoy lesions are a rare but life-threatening cause of gastrointestinal bleeding. Colonic Dieulafoy lesions are exceptionally rare, comprising only 2% of these lesions. We present a case of cecal Dieulafoy lesion as an unusual cause of lower gastrointestinal bleeding-along with hemoptysis.
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