A PATIENT WITH ARTERIOVENOUS MALFORMATION OF THE CECUM DIAGNOSED BY EMERGENT ABDOMINAL ANGIOGRAPHY FOLLOWED BY A PROMPT SUCCESSFUL SURGICAL TREATMENT

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  • 緊急血管造影にて迅速に診断し切除した回盲部動静脈奇形の1例

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Abstract

Gastrointestinal arteriovenous malformation (AVM) is a relatively uncommon disease, and is almost found by the investigation of GI bleeding. We report a case of cecal AVM with massive hemorrhage. A 50-year-old man was admitted to the hospital because of massive melena and hemorrhagic shock. Although colonoscopic examination detected a submucoal tumor of the cecum, obvious bleeding point was not identified. Emergent abdominal angiography, however, revealed a cecal AVM. Ileo-cecal resection was quickly and successfully performed. For the patient presenting with massive melena, emergent abdominal angiography is highly recommended when the bleeding point is not identified by endoscopic examination.

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