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A case of angiodysplasia of the cecum with massive bleeding after esophagectomy for esophageal cancer

A case of angiodysplasia of the cecum with massive bleeding after esophagectomy for esophageal cancer

Journal of the Japan Society of Coloproctology 44(2): 230-234

A case of angiodysplasia of the cecum with massive bleeding after esophagectomy for esophageal cancer in a 57-year-old man is reported. The patient was referred to the Ryukyu University Hospital for treatment of esophageal cancer. He developed massive anal bleeding at the 13th day after esophagectomy. Colonoscopic examination failed in detecting any hemorrhagic lesions because of intraluminal massive blood of the colon. Thereafter, abdominal angiography demonstrated extravasation of the artery supplying the cecum. The resected cecum showed a solitary diverticulum with a naked, tinny vessel at the junction of the diverticulum and the normal cecum. Angiodysplastic vessels with a partially extruded thrombus were localized in the submucosa at the junction. Some of the submucosal angiodsyplastic vessels were entrapped in a gap between the diverticulum and the muscle layer of the colon. This case suggests that the diverticulum may play a contributory role in the formation of angiodysplasia.

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Accession: 006932033

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