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A Journal on Surgery
Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Chirurgia 1999 June;12(3):223-6
Personal experience of recurrent gastrointestinal bleeding due to vascular malformation
Brignole E., Accarpio F.T., Cognein P., Sebastiani P., D'Auria P., Ragusa T., Accarpio G.
Gastrointestinal bleeding represents one of the most common causes of hospital emergency. Normally, bleeding affecting the upper or lower gastrointestinal tract is related to ulcers, polyps, varices, cancer, etc., while vascular malformations occur rarely. The present paper concerns two cases of unknown relapsing massive bleeding. Both patients had been hospitalized many times for severe anemia before the correct diagnosis was made to allow surgical intervention. Diagnosis of vascular malformation was reached following a flow chart including upper and lower endoscopy, scintigraphy with 99Tc, angiography. This paper underlines the importance of an accurately search for vascular malformations when there are recurrent bleedings. Although the presence of associated pathologies (ulcers, erosions, etc.) may sometimes mislead to a wrong diagnosis.