Bowel Angiodysplasia and Myocardial Infarction secondary to an ischaemic imbalance: A case report

Aldo Rocca, Andrea Salzano, Michele Arcopinto, Bruno Amato, Alberto Maria Marra, Vincenzo Simonelli, Pasquale Mozzillo, Antonio Giuliani, Domenico Tafuri, Mariapia Cinelli

Research output: Contribution to journalArticle

Abstract

Angiodysplasia, defined as a vascular ectasia or arteriovenous malformation, is the most frequent cause of occult bleeding in patients older than 60 years and a significant association with several cardiac condition is described. Patients with anemia and negative findings on upper endoscopy and colonoscopy should be referred for further investigation of the small bowel. The investigation of choice, when available, is wireless capsule endoscopy. Several therapeutic options are available in this cases, as we reviewed in this report. We report a case of 78-year old man admitted to our Intensive Coronary Unit for dyspnea and chest pain. A diagnosis of non-ST-segment elevation acute coronary syndrome was made and a concomintant, significant anemia was found (hemoglobin 8.2 g/dl). No cororary disease was found by an angiography though the past medical history revealed systemic hypertension, chronic kidney disease (KDOQY stage III), and diabetes mellitus type II on insuline therapy. A Wireless Video capsule examination was positive for jejunum angiodysplasia and an argon plasma coagulation was chosen as terapeutic option. No subsequent supportive therapy and interventions were required in subsequent one year of follow-up.

Original languageEnglish
Pages (from-to)543-548
Number of pages6
JournalOpen Medicine (Poland)
Volume10
Issue number1
DOIs
Publication statusPublished - Jan 1 2015

Keywords

  • Angiodisplasya
  • Bowel
  • Ischemia
  • Miocardial Infarction

ASJC Scopus subject areas

  • Medicine(all)

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    Rocca, A., Salzano, A., Arcopinto, M., Amato, B., Maria Marra, A., Simonelli, V., Mozzillo, P., Giuliani, A., Tafuri, D., & Cinelli, M. (2015). Bowel Angiodysplasia and Myocardial Infarction secondary to an ischaemic imbalance: A case report. Open Medicine (Poland), 10(1), 543-548. https://doi.org/10.1515/med-2015-0092