Angiodysplasie - Example 7
Author: Prof. em. Dr. med. S. Liebe, University Hospital Rostock, Rostock, Germany
From: Falk Media Service D34, Endoscopy Practice on Video - Selected Diseases of the Colon
2. Edition 2012. © Falk Foundation e.V. All rights reserved.
This 82-year-old woman reported many instances of blood in the stool. Patient suffered from microcytic anemia secondary to iron deficiency and a grade III-IV tricuspid valve insufficiency with severe cardiac decompensation and venous stasis.
The video clip shows angiodysplastic lesions throughout the entire colon. There is a particularly high risk of bleeding from an angiodysplastic lesion in the transverse colon.
Given the extent of the findings, endoscopic treatment with argon plasma coagulation entails significant risk. Instead, embolization of the larger angiodysplastic lesions in the transverse colon was performed.