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Gastric Antral Vascular Ectasia Syndrome With Aortic Stenosis: A Twist on Heyde Syndrome?
J Med Cases
January 2025
Gastroenterology and Hepatology, St. Joseph's University Medical Center, Paterson, NJ, USA.
Heyde syndrome is a triad of aortic stenosis (AS), gastrointestinal (GI) bleeding from angiodysplasia, and acquired von Willebrand disease (vWD). It is hypothesized that stenotic aortic valves cleave von Willebrand factor (vWF) multimers, predisposing patients to bleeding from GI angiodysplasias. This hypothesis is supported by the observation that aortic valve replacement often leads to the resolution of GI bleeding.
View Article and Find Full Text PDFAcute Hemorrhagic Rectal Ulcer Presenting With Severe Lower Gastrointestinal Bleeding: A Case Report of an Emerging Entity.
Cureus
November 2024
Gastroenterology and Hepatology, American University of Beirut, Beirut, LBN.
Acute hemorrhagic rectal ulcer (AHRU) is a rare but potentially life-threatening condition. We present the case of a 74-year-old man who developed sudden massive hematochezia and hypotension during hospitalization for fever of unknown origin. He was known to have alcohol-related liver cirrhosis, hypoalbuminemia and coronary artery disease (CAD) and was on daily aspirin.
View Article and Find Full Text PDFArticle Synopsis
- - Bronchial artery-pulmonary artery fistula (BPF) is a rare blood vessel issue related to conditions like congenital heart disease and usually shows up in adulthood alongside hemoptysis (coughing up blood) as a symptom.
- - Bronchial Dieulafoy disease (BDD) is another uncommon vascular anomaly involving an abnormal artery in the bronchial tree, often linked to chronic inflammation or injury.
- - This report highlights a unique case where BPF and BDD occurred together in a patient with recurrent hemoptysis, emphasizing the importance of accurate diagnosis through angiography and bronchoscopy to improve clinical understanding of these conditions.
A 65-year-old man with a history of chronic renal failure and ischemic heart disease who was receiving aspirin therapy was admitted for recurrent melena. Initial evaluation revealed severe anemia. Other than a diverticulum in the third part of the duodenum, the findings of upper and lower gastrointestinal endoscopies and computed tomography were unremarkable.
View Article and Find Full Text PDFEndoscopic ultrasound-guided vascular interventions: A review (with videos).
Indian J Gastroenterol
October 2024
Department of Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, 226 014, India.
Article Synopsis
- Endoscopic ultrasound (EUS) has transitioned from being solely a diagnostic tool to an interventional method that allows for precise treatment options, particularly in vascular access and therapy related to liver diseases.* -
- EUS-guided procedures, like measuring portal pressure gradients and sampling portal venous blood, play a key role in diagnosing and managing various cancers and liver conditions, such as hepatocellular carcinoma and portal vein tumor thrombus.* -
- The application of EUS is expanding to include treatments for complications like pseudoaneurysms and gastrointestinal bleeding, highlighting its growing importance in modern medical practice for both current and future therapeutic interventions.*
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