Abstract

Angiodysplasias of the colon are enlarged and fragile blood vessels in the colon result in occasional loss of blood from the lower gastrointestinal tract. It may be observed incidentally at colonoscopy or patients may present with lower gastrointestinal bleeding. The objective of this case report is to highlight a rare case of isolated angiodypsplasia of colon presenting with massive lower GI bleed. 40 yr male presented with severe lower GI Bleed from few hours approximately 2 litres. Haemoglobin was 4 gm and he was requiring high dose ionotropes. Emergency colonoscopy was done which showed around 2 litres of blood in colon with active bleeding point and spurting from hepatic flexure of colon. Emergency laparotomy was done with intra op ENTEROSCOPY to localize the lesion. There was a pinpoint angiodysplasia in the colon which was the source of the bleed. Wide excision of the lesion was done. Patient improved post op and was discharged on POD VI.

Description